Monthly Medicare Analysis

CareSet analyzes Medicare claims to uncover provider 
influence, unblock gaps in data, and map patient journeys.
“When weeks, even days matter with our Line-of-Therapy(LoT), accuracy and timeliness matters. Until CareSet, we didn’t realize we had gaps in data, making physician targeting much more difficult.”
–  Senior Director of Analytics, Orphan Drug Manufacturer.”
Competitive PLD vendors typically access only 70% of Medicare Part D and just 40% of Parts A and B, leading to notable gaps in treatment analytics.

CareSet Analyzes Prescribers Writing Blocked Brands and Uncovers the True Treatment Journey for Patients.

Each data point is a potential insight into a patient’s condition, a doctor’s decision, or a policy’s impact.  Our strength lies in deciphering complex Medicare A, B, and D claims, including those blocked or redacted brands, accounts, and payor data points, uncovering insights hidden to most.
 

Find More Doctors and Accounts

“CareSet identified 15% more targets, and with the increased coverage, we found 250% more patients indicated for our treatment.”
–  Senior Director of Analytics, Orphan Drug Manufacturer.”

Find More Doctors and Accounts

“CareSet identified 15% more targets, and with the increased coverage, we found 250% more patients indicated for our treatment.”
–  Senior Director of Analytics, Orphan Drug Manufacturer.”

Our Data Sources

By diving into $1.100+ trillion in annual claims, we spot key spending trends and resource needs. Our constantly updated 14-year claims data means we’re always on top of market changes. Plus, we blend in over 100 external data sources to give a full, clear picture of the healthcare market. Our healthcare analytics solutions give life sciences companies an edge.

What we do

Monthly census-level insights

NPI-labeled provider network

No blocked brands, accounts or payors.

 

Monthly census-level insights

NPI-labeled provider network

See Buy & Bill Administration

 

62+ M

Patients

6M

HCOs

$1.1+ T

in annual Medicare claims

14+ Years

Medicare claims data (on a monthly basis)

100+

External Metadata (Public & Private sources)

CareSet's Medicare Expertise and Insights Tackles Critical Business Questions:

Who is in each specialty pharmacy’s network?

What is the diagnosis to treatment path?

Who’s treating what?

Who drives adherence?

How do providers impact patient journeys?

How does the IRA affect Medicare Part D Coverages and Costs?

Our commitment to quality is unwavering, as we deliver essential the highest quality of healthcare analytics and insights to our clients while maintaining the utmost respect for patient privacy and protection. Over time, our approach has evolved to provide more complex healthcare insights and conduct in-depth analyses. For example, we closely monitor monthly shifts in patient flows and changes in prescribing patterns among providers, enabling better decision-making and improved patient care.

At CareSet, we are proud to lead in the realm of healthcare data analytics, positively impacting patient care and the industry’s future.