Barrier Radar

Payer restrictions and severity across segments

Illustrative synthetic data

Illustrative synthetic dataData source: Optum claims access patterns + payer policy and PA source, to be confirmed (simulated)

Payer segments tracked

Segments with step edit

of 6 segments

Average PA denial rate

30.5%

Highest-severity payer

National PBM Plan A

Severity 82

Payer archetypes

Click a row to inspect its policy and barrier profile

				Restrictions
National PBM Plan A	National PBM	18.6M	Covered, tier 3 with restrictions	StepPAQL	82	41%	27%	14,200
Regional MA Plan B	Medicare Advantage	6.4M	Covered with restrictions	StepPASpecialist	74	33%	30%	9,800
Medicaid MCO Plan F	Medicaid MCO	3.1M	Not covered	StepPA	69	37%	18%	2,700
Commercial Plan C	Commercial	11.2M	Covered, tier 3 with restrictions	PATier	61	29%	16%	6,300
Regional Commercial Plan E	Commercial	4.8M	Covered with restrictions	PASpecialist	55	24%	20%	3,900
Large Employer Plan D	Employer	2.3M	Covered with restrictions	StepQL	48	19%	10%	4,100

Payer segments per barrier type · click to filter