Evidence Gap Planner

Where the evidence is thin and which analyses would close it

Illustrative synthetic dataLive AI

Evidence gaps by barrier

Priority = evidence gap × share of affected patients behind that barrier (illustrative scoring)

BarrierEvidenceConfidencePatientsGapPriority
Quantity limit
National PBM Plan A, Large Employer Plan D
2 items: EV-07, EV-102518,300
44.6%
68
61
Prior authorization
National PBM Plan A, Regional MA Plan B, Commercial Plan C, Regional Commercial Plan E, Medicaid MCO Plan F
7 items: EV-01, EV-03, EV-04, EV-05, EV-06, EV-07, EV-085736,900
90%
30
54
Step edit
National PBM Plan A, Regional MA Plan B, Large Employer Plan D, Medicaid MCO Plan F
7 items: EV-01, EV-02, EV-03, EV-04, EV-05, EV-07, EV-086430,800
75.1%
25
38
Specialist-only prescribing
Regional MA Plan B, Regional Commercial Plan E
3 items: EV-07, EV-08, EV-093313,700
33.4%
54
36
Tier placement
Commercial Plan C
4 items: EV-04, EV-06, EV-07, EV-11386,300
15.4%
43
13

Gap = 100 − (0.7 × confidence + 7.5 per item, up to 4 items). Patients can sit behind more than one barrier, so shares overlap.

Proposed analyses to close the gaps

Live AI proposals for the top four priorities, using only Optum and iZO data asset types in the dataset

Click "Plan gap-closing analyses" to draft proposals.