ProblemEstablished rheumatology infusion patients still fall out of the schedule when renewals expire, payers force biosimilar switches, or pharmacy handoffs break. In a 225-patient cohort, 71% of infusible drugs needed PA and initially denied cases stretched to 50 days.
RenewalPulse Rheum: biologic continuation watch for rheumatology clinics
Idea Overview
TLDR
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SolutionRenewalPulse Rheum is an AI workboard for continuation cases. It reads approval letters, labs, payer rules, and schedule data, then flags which next-dose patients are truly clear, which need a biosimilar exception, and which will miss the chair without intervention.
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Market opportunityThe wedge sits inside a $64.35B RA-drugs market and a $50.63B ambulatory-infusion market. Clinics already accept software spend of $280-$729 per provider monthly, leaving room for a $499-$1,500 site-based rescue layer that protects recurring infusion revenue.