Market Access
Payer negotiations, formulary placement, prior authorization support.
What it does
LivePayer negotiations, formulary placement, prior authorization support.
The traditional flow
Liveflowchart TD
A[Product priced for market] --> B[Payer negotiations conducted per contract]
B --> C[Formulary placement decided]
C --> D[Prior authorization criteria set]
D --> E[Patients navigate PA process for access]Where it breaks
LiveMain pain pointPrior authorization is a manual, paperwork-heavy process that delays patient access to approved therapies.
Stage 2: The What-If redesign
Tools in use today
Coming soonThe systems, spreadsheets and handoffs this process relies on in a typical organization.
Pain points in depth
Coming soonEach pain point broken down: where it happens, who feels it, and what it costs in time, errors or risk.
Today's critical user journey
Coming soonWho touches the process, in what order, and where delays and errors creep in.
The What-If agent ecosystem
Coming soonA named roster of agents, each with one responsibility, plus the orchestration diagram and the human checkpoints.
The new critical user journey
Coming soonThe same journey redesigned around the agents: what changes for each person and where they still step in.
Before and after
Coming soonA side-by-side comparison of the traditional flow and the agentic redesign.
How each pain point gets solved
Coming soonEvery pain point mapped to the agent or checkpoint that removes it.
Business outcomes
Coming soonThe generic business outcomes this redesign could drive. Any figures are illustrative estimates, never measured results.