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IgniteHealth · Methodology

Every number on this site has a footnote. This is where they resolve.

We label every claim with a confidence — high when the source is direct and sourceable, medium when the figure is directional, projection when the figure is modelled. We never publish a number without telling you which it is.

medium

80%+ of routine refills auto-approved

Target rate based on the 20-point clinical protocol gating refill auto-approval. Measured on protocol-eligible scripts, not all incoming refills.

ref: auto-approval-target

projection

+5–13 pp PDC lift across MAC, MAD, MAH

Range of plausible PDC lift across the three Part D triple-weighted measures, derived from outreach-volume modelling. Actual lift varies by baseline adherence and member mix.

ref: pdc-lift-methodology

projection

$5–7.5M in QBP bonus per 100K Medicare lives

Quality Bonus Payment range based on a 0.5-Star uplift at typical 2026 benchmark and rebate share assumptions ($1,150 PMPM benchmark, 65% rebate share). Plan-specific results depend on bid, region, and CMS rate announcement.

ref: qbp-bonus-math

medium

3–5 min saved per routine refill review

Time-motion baseline for human refill review (3–5 min routine, 10–15 min complex). PrefillX automates the routine path, leaving exceptions to human review.

ref: review-time-baseline

projection

11 weeks projected payback

Projected breakeven on PrefillX deployment for a 100K-life MA plan, assuming target auto-approval and outreach rates. Modelled, not observed.

ref: payback-modelling

projection

4.2 → 4.7 projected Star Rating uplift

Illustrative half-star movement scenario for a plan moving from 4.2 to 4.7 Stars on Part D adherence measures, post-Tukey-outlier-deletion 2027 cut points.

ref: stars-uplift-illustration

medium

15K+ members reached in pilot outreach

Cumulative count from pilot outreach campaigns. Specific to pilot deployment; not yet generalised.

ref: pilot-outreach-volume

high

0 PHI incidents to date

Confirmed PHI breaches reported under HIPAA Breach Notification Rule. Independent of HIPAA compliance posture, which is also documented.

ref: phi-incidents-log

high

99.97% reasoning-trace audit completeness

Share of decisions with a complete reasoning trace captured to the audit log, sampled across the production batch. Remainder are flagged for trace-completion before being released.

ref: audit-completeness-sampling

FDA Clinical Decision Support. PrefillX operates under FDA enforcement discretion (21st Century Cures Act §3060). It is not a 510(k) device. The pharmacist remains the decision-maker of record on every script.