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Healthcare & Pharmacy · Waste Reduction Analytics

Clinical Teams Redirected $300K a Year From Reports to Providers

A nationwide Pharmacy Benefit Manager (PBM) held waste-reduction data across separate systems, with no single place to see progress. We consolidated it into one daily-refreshed data mart feeding self-service dashboards. Clinical Management now has one view, and about $300K a year of clinical and IT time moved from building reports to engaging providers.

$300K/yrClinical and IT capacity redirected to providers
2Full-time-equivalent (FTE) clinical roles redirected
0Ad-hoc data extract requests, eliminated

The Challenge

Data on waste-reduction initiatives was scattered across separate systems, with no single place to see progress. Clinical Management could not clearly show stakeholders how things were going or confidently guide savings projections. Much of the team's time went into ad-hoc reports rather than engaging providers directly, request by request. This PBM processes hundreds of millions of dollars in annual drug spend, so even a small percentage of addressable waste is a material figure. Without actionable analytics, provider outreach stayed blanket rather than targeted at the underperformers who needed attention most. Clinical expertise went into assembling reports instead of conversations.

What We Did

We started by consolidating the source systems into one data mart, refreshed daily. That gave Clinical Management a single place where waste-reduction progress lives, instead of a set of extracts pulled by hand whenever someone asked a question. We then built self-service dashboards with peer-group comparison and trend tracking, so the team can see which providers are underperforming, and simulation views for scenario modeling and savings projections. Clinical Management answers its own questions now, without going back to IT.

The Solution

A daily-refreshed data mart now feeds self-service dashboards with peer-group comparison, trend tracking and simulation views for savings projections. Clinical Management sees progress in one place and models projections directly, and ad-hoc data extract requests have been eliminated.

The Outcome

About $300,000 a year of clinical and IT time was redirected from ad-hoc reporting, and two full-time-equivalent clinical roles moved to provider work. Ad-hoc extract requests dropped to zero. That capacity now goes to providers. Clinical managers spend their time on direct provider engagement rather than assembling reports, and outreach can be targeted at the underperformers who need it, where even a small slice of a nine-figure drug spend is material.

Clinical teams spending more time building reports than engaging providers?

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