Never Lose a Patient to Preventable Administrative Errors
Prevent non-starts and discontinuations with real-time medical benefit prior authorization insights and AI-enabled support embedded directly into specialty practice workflows.
Understand Patient Access Friction. Intervene in Real-Time. Measure the Impact.
SamaCare combines real-time medical benefit prior authorization intelligence with AI-enabled in-workflow support, creating a closed loop system for understanding and reducing patient access barriers for Enhanced Brands.
Real-Time Access Intelligence
Gain visibility into barriers to therapy across medical benefit prior authorization for your drug:
- Approval and denial trends
- Time to resolution
- Reasons for denial
- Payer policy changes and enforcement patterns
- Benchmarks by payer, plan, site of care, and competitive set
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AI-Enabled In-Workflow Support
Deploy targeted support directly in specialty practice workflows, before access friction leads to patient churn:
- Pre-submission policy intelligence designed to stop preventable denials
- Documentation and submission guidance
- Intelligent post-submission follow-up and human-in-the-loop escalation processes
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Closed-Loop Impact
Measure the impact of sponsored support services at driving the market access outcomes that matter:
- Improved net approval rates
- Reduced time to resolution
- Increased patient starts
- Reduced churn
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Built on the Largest Real-Time Dataset in Medical Benefit Prior Authorization
SamaCare operates the most comprehensive, real-world dataset in medical benefit prior authorization.
Enhanced Brands sponsored on the platform see a 29% lift in PA approval rate compared to non-sponsored brands.
$6.2B+ in annual medical benefit drug spend.
8+ years embedded in specialty practice workflows.
Coverage across drugs, payers, plans, and sites of care.
Structured and Continuously Refined
Using advanced AI techniques, SamaCare transforms messy payer data into actionable intelligence, without removing human expertise from the process.
Designed for High-Impact Access Moments
Achieve your market access goals with visibility on-the-ground and a direct support channel to providers nationwide.
Gain Faster Visibility into Access Hurdles
Move from retrospective reporting to proactive access management.
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Respond to Competitive Access Pressure
Monitor how payer behavior shifts when new competitors enter the market, and act quickly to protect access experience.
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Monitor Access for New Therapy Launch
Identify early access barriers and deploy support immediately to accelerate patient starts.
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Improve Net Approval Rates
Surface payer friction in real-time and guide submissions towards higher first-pass success.
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Reduce Patient Drop-Off
Detect delays before they become denials and intervene before patients churn.
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Support Strategic Sites of Care
Deliver tailored support to targeted practice segments, including high-growth infusion settings.
Deliver Provider Support at Scale
Deploy one-to-many in-workflow interventions with measurable lift.
Trusted for Medical Benefit Prior Authorizations Across the Healthcare Ecosystem
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40% of Leading Global Pharmaceutical Companies Sponsor Their Brands on SamaCare
Comprehensive Dataset
Prior authorization outcomes, provider workflow signals, payer policy changes, observed enforcement patterns, and intervention data.
Proven Scale
8+ years of workflow software, millions of lifetime prior authorizations resolved, $6.2B in buy-and-bill PA volume (2025).
Strategic Coverage
Significant presence across the specialties that use medical benefit drugs, like neurology, retina, oncology, rheumatology, and ambulatory infusion centers in the US.
Industry Adoption
40% of the leading global pharmaceutical companies sponsor their brands on SamaCare to improve patient access.
Ecosystem Adoption
Seamless integration with major platforms and partners, including McKesson, Cencora, WeInfuse, and more.
Best-in-Class Humans + AI
Human PA expertise paired with AI to keep intelligence grounded in real-world practice.
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Improve Patient Access, Provider Experience, and Brand Success
SamaCare operates at the point where medical benefit prior authorization determines whether patients start and stay on therapy — and provides the intelligence and intervention needed to ensure they do.
Resources for Market Access Champions
