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Pharmacy Benefit Intelligence · Payers & PBMs · Axiomera + Axiomera

Transparency is the law now. Can your data prove it?

Three pressures landed at once: CAA fiduciary duties, the CMS-0057-F FHIR API deadlines (January 2027), and GLP-1s going from cost line #32 to #1. The data that regulators, plan clients, and finance all demand is locked in datasets that were never harmonized.

One drug class · Five silos

Claims, rebate contracts, eligibility, formularies, prior-auth. The GLP-1 story scattered across systems that don't agree.

NDC ≠ contract line? QBR: week 3 of 3
Standardize

Claims, contracts, and eligibility restructured to one FHIR-native model. The same shape CMS-0057-F demands anyway.

FHIR-native · X12 · NCPDP
Bind meaning

Hundreds of non-standard client formularies normalized to one comparable model; every number bound to its contract clause and claim.

field-level lineage
Harmonized

A single governed model binding claims, contracts, rebates, eligibility, and formularies. Running in your own cloud.

one class, one truth
Decisions that hold up

Net-cost answers by drug class, auto-generated QBRs, and fiduciary evidence where every figure traces to source.

audit-ready, client-ready
The squeeze, in numbers

The QBR that takes three weeks to build is now a legal exposure

#1
GLP-1s are now the top pharmacy cost driver. Up from #32. At $1,000+ per member per month
plan-reported cost rankings
60%
of plans are unbundling PBM services in pursuit of transparency
industry surveys
3 weeks
typical time to assemble one Quarterly Business Review by hand. Per client, per quarter
current-state benchmark

CAA / ERISA fiduciary duty

Plan sponsors must prove prudent management. Every number in your reporting traces to source contract clauses and claims. Or it's an exposure.

CMS-0057-F · Jan 2027

Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs. All FHIR. A FHIR-native harmonized layer feeds them from one model instead of four projects.

Data sovereignty

Deployed in your environment. Claims and member data never leave your walls. Which is the answer your compliance office wants to hear first.

What ships on the layer

Harmonize the data once. Turn it into decisions the client can act on.

Client Reporting

Self-service portal + Auto QBR

Plan clients generate the Quarterly Business Review automatically instead of waiting for it to be assembled by hand. With real-time access to their own analytics.

Net Cost

Rebate + net-cost optimization

Score formulary changes to show where one drug's increased spend nets a decreased cost across the class. With full audit trails.

Formulary

Formulary intelligence

Hundreds of non-standard client formularies normalized to one comparable model, so tiering compares side by side and customizes per client.

Operations

Client management workspace

Bid grids, disputes, formulary status, and reporting in one place. On the same governed data as the QBR.

The GLP-1 test case

Evidence-based access, not a blank check

Net cost across the class

Analysis with timing for action. When to move, not just what moved.

Traceable to source

Every number traces to contract clauses and claims. Fiduciary-grade by construction.

The whole utilization picture

Utilization, adherence, prior-auth, step therapy, and discontinuation in one unified view.

Fund access with evidence

Coverage decisions grounded in what the harmonized data shows. Defensible to sponsors and members alike.

Proof

Harmonization proven at population scale

The same layer underneath this offering was validated in a published federated study across 47 U.S. healthcare institutions. Without moving a single raw record.

47
U.S. healthcare institutions federated on one model
0.76
AUROC for 30-day readmission, up 0.08 on institutional baselines
0
raw records moved off-site. Data sovereignty by construction
the same deployment model your compliance office will review
Adoption path

Land small. Expand on the same layer.

1 · Land

Portal + Auto QBR

On the claims and eligibility data you already have. First value lands where the manual pain is worst.

2 · Expand

Optimization, formulary intelligence, workspace

Each layer consumes the same harmonized model. No new data project per capability.

The deadlines are real now

Manual QBRs and spreadsheet reconciliation were already broken.
Now the law has made the deadlines real.

Talk to us about getting your pharmacy data AI-ready. We will walk your team through the FHIR-native architecture on your claims, contracts, and eligibility data.