We are excited to share release notes for 26R2.5. The new capabilities delivered include:
Compass Patient
As part of the Compass commitment to ongoing quality improvements, we are pleased to announce meaningful fill rate improvements in multiple attributes.
Payment Type and Payment Subtype see a 4% fill rate improvement in the data network, through expanded enrichments from newly available fields in a collaborative effort across multiple suppliers.
- On Medical Claims, Payment Type & Payment Subtype see a 7% increase, providing improved visibility in Medicare on 5% of claims, and in Commercial on 2% of claims.
- On Pharmacy Claims, Payment Type sees a .5% increase, providing improved visibility into Medicare and Medicaid transactions.
Brand level impacts have high variability depending on their patient mix.
Improved Diagnosis Code availability leads to a 1% fill rate improvement in positions 7-10. Unique codes are now pulled forward from within the transaction resolving any duplicates or nulls. This improves the visibility of diagnosis codes for a patient and ensures each code position contains unique values.
This may qualify new diagnosed patients to be returned in search results, and customers may see increases in patient counts in queries as a result.
Compass National & Compass Prescriber
Payer Mix Updates
We have improved payer type metric accuracy across Compass Prescriber and Compass National through fill rate improvement in the data network across multiple suppliers. Commercial Tx, Medicare Tx, and Medicaid Tx projections may see slight shifts to better reflect a product’s true payer mix across prescriptions and procedures.
Overall, there is a ~1% shift from Commercial Tx to Medicare Tx, though the impact will vary by product. Below are examples of products with notable payer mix shift across 2023-2025:
- Enhertu: -2% Commercial Tx, +2% Medicare Tx
- Eylea: -5% Commercial Tx, +5% Medicare Tx
- Ilumya: -2% Commercial Tx, +2% Medicare Tx
- Keytruda: -2% Commercial Tx, +2% Medicare Tx
- Leqembi: -3% Commercial Tx, +3% Medicare Tx
- Vygart: -3% Commercial Tx, +3% Medicare Tx
This update will be available in Weekly projections starting on November 12; and in Monthly, Quarterly, and Yearly projections starting on November 28th.