Patient Chart Audit Insights

This study interviews healthcare providers (HCPs) about their real-world treatment decisions for patients on GLP-1 agonist treatment. It collects patient background and prescribing rationale to understand the clinical drivers, barriers, and practice patterns for their use.

Patient Chart Audit Insights Illustration

Key Findings

Weight loss rivals A1C control as primary treatment driver for T2D

Nearly half of HCPs reported weight loss as a top treatment decision driver, with weight loss positioned as equally or more important than A1C reduction in several treatment selections for T2D patients.

Cardiovascular gap persists despite Mounjaro's efficacy gains

One-fifth of HCPs cite cardiovascular risk reduction as a top driver for GLP-1 selection, with Ozempic consistently chosen over Mounjaro for patients with heart disease due to established CV benefit profile and concerns about Mounjaro's lack of cardiovascular data. 

Cost barriers drive treatment abandonment and shape HCP unmet needs

15% of HCPs abandon clinically preferred treatments due to insurance barriers, with 70% citing affordable pricing as the top needed improvement, followed by patient samples (35%) and better insurance coverage (30%).

Captured through our voice-first approach

Our Patient Scribe AI, part of the Sagan suite, transforms patient chart audits. It allows HCPs to dictate patient information by voice, enabling the fast and scalable collection of rich, qualitative data from real-world cases. 

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The What

Reduced Cognitive Load

Voice-first approach captures the nuances of treatment decisions while reducing user fatigue, enabling HCPs to provide quality insights naturally.

The How

Optimized Survey Flow

High insight density reports curated specifically for brand teams, leveraging conversations that are natural to humans.

The Why

Deeper & Richer Insights

Understand the "whys behind the what" to take actions with a nuanced view providing deeper insights through natural conversations.

Insights at a Glance

WEIGHT LOSS

Weight Loss is the Primary Driver of Treatment Decision

In several instances, weight loss is positioned as equally or more important than A1C reduction in treatment selection. Almost half of HCPs reported weight loss as a top treatment decision driver.

"Patient needs something that will help losing weight and also help in patient's diabetes."
CARDIOVASCUALR BENEFIT

Cardiovascular Benefits Influence Choice

1/5th of HCPs reported cardiovascular risk reduction as a top driver when choosing between GLP-1 therapies, especially when patients have comorbidities. Ozempic is often chosen over Mounjaro for patients with heart disease due to its established CV benefit profile. 4 HCPs out of 53 reported ruling out Mounjaro due to a lack of CV benefits.

"Mounjaro does not have any cardiovascular benefits to date, and this patient has history of coronary artery disease."
"Mounjaro lacks cardiovascular data and there is concern that it may actually not be beneficial."
INSURANCE COVERAGE & COST

Insurance Coverage and Cost Are Common Barriers

While clinical benefits remain the primary consideration, insurance coverage often determines the final prescribing decision when preferred GLP-1 medications aren’t covered. Physicians frequently consider GLP-1 agonist treatment options but default to those with better coverage or faster approval processes. Patients are sometimes switched due to lack of formulary inclusion. Notably, 13% of HCPs reported abandoning a treatment they initially favored due to cost or insurance barriers.

“Previously prescribed Wegovy but not covered on her insurance.”
"I didn't consider any other options as it looked like I could get insurance approved right away for my desired medications."
SUGGESTED IMPROVEMENTS FOR RXING GLP-1S [UNAIDED]

Affordable Prices / Lower Cost

70
% OF HCPS CITING THAT AS A BARRIER TO GLP-1

Providers emphasized that high medication costs and copays are major barriers for patients. They want pharmaceutical companies to reduce prices, offer better savings cards, coupons, and incentive programs to help patients afford GLP-1 drugs for weight loss or GLP-1 for type 2 diabetes.

"Make them more affordable. Make it to where we have to jump through less hoops to actually prescribe them to patients."
"Drop the prices! Especially cash pay. If they could drop to 200 a month, my patients would buy it non-stop."
"I waste so much time trying to explain to patients why they should take these medications, but then they come back to me saying they can't afford them."
"Better support could include more affordable pricing for patients, especially without insurance coverage."

Patient Samples & Education Materials

35
% OF HCPS CITING THAT AS A BARRIER TO GLP-1

HCPs want pharmaceutical companies to provide more free samples to initiate therapy easily and support patients during dose titration. Clinical reprint materials and clear titration guidelines are requested.

“Give me more samples and provide more clinical reprints.”
"Drop the prices! Especially cash pay. If they could drop to 200 a month, my patients would buy it non-stop."
“Provide consistent supply of professional samples of GLP-1 analogs. Help with reimbursement and approval.”
“Guidelines for patients in changes in medication dose and the titration of medication so patients can clearly know what to do.”
“Lower the prices and keep the supply coming.”

Improve Insurance Coverage

30
% OF HCPS CITING THAT AS A BARRIER TO GLP-1

Issues with monthly prior authorization requirements, unclear insurance coverage, and formulary status limitations. They want better collaboration with payers to improve coverage and reduce administrative hurdles.

“They could help insurance provide more complete coverage.”
“The problem is that there is prior authorization required every month and sometimes with every dose through insurance companies.”
“Better collaboration with some insurance companies to improve coverage and agree on reasonable price for insurance to pay.”
“Provide me data with which plans cover their medications.”
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