IQVIA's U.S. Managed Care (payer, health plan & PBM) Data Solutions & Services

IQVIA's Managed Care Data Solutions and Services supports your ability to unlock the insights you thought were out of reach, until now. Identify cost savings and improve benefit design in a configurable model built on the broadest and deepest non-identified prescription database. With IQVIA’s Managed Care Data Solutions and Services, you can fill the gap in your insights for healthcare claims activity within your market, plus aggregate and analyze vast amounts of data to answer critical business questions.

IQVIA's Managed Care Data Solutions and Services are powered by a multitude of proprietary data assets and offerings covering ~320M anonymized patients in the U.S.:

All Payer Submitted/Remitted Medical Claims Data: Over 1.6B claims/year sourced from claims clearing houses and practice management companies

All-Payer Prescription Claims Data: Over 4.3B paid Rx claims/year representing near census coverage sources directly from retail pharmacies, mail order and specialty

PharMetrics Plus Integrated Claims Data: Health Plan sourced adjudicated medical and prescription claims representing over 210M+ enrollee lives since 2006

National Drug Sales Data: Near census coverage (88% coverage of all US drug sales: 97% of non-retail and 84% of retail) of all drug sales sources directly from drug manufacturer, wholesalers and long-term care facilities.

IQVIA's Managed Care Universe: >3K payers; >12K health plans; >50 unique plan model types; ~200 PBMs & PBM processors

OneKey™ Healthcare Organization and Provider Reference Data: One of the largest provider data solutions in the industry representing over 11M healthcare professionals, over 750K healthcare organizations and almost 6M affiliations.

Other Key Data Assets: Clinical Data (Oncology EMR data and Ambulatory EMR) and Lab Data

IQVIA's Managed Care data solutions can address the following use cases in addition to many others your organization defines as key business needs:

- Impact assessment of pharmacy discount card & manufacturer coupon cards
- Adherence impact on Medicare Star Ratings
- Prescription utilization and cost trending
- Prescribing behavior analysis (focusing on HCP anomalous prescribing patterns)

PLEASE NOTE: Data availability in Snowflake is determined by your specific data subscriptions with IQVIA based on details you provide regarding use cases in focus and scope of data required; including specific geographies, conditions, Rx distribution channel, frequency of deliverable and amount of historical data required.

搜集汇总

背景与挑战

背景概述

该数据集提供IQVIA美国管理式医疗数据解决方案，覆盖约3.2亿匿名患者的医疗和处方索赔数据，包含超过1600亿条/年医疗索赔和430亿条/年处方索赔记录，支持医保折扣卡影响评估、处方利用趋势分析等多种应用场景。数据内容根据用户订阅情况在Snowflake平台提供。