AI DIR Fee Exposure Tracker

COLDhealthcareNorth America6 Mar 2026

Discovery Lens

A New Behaviors

Markets that didn't exist until people started doing something new

One-Liner

Analyzes dispensing data to estimate each pharmacy's performance metric trajectory and flag prescriptions with high DIR fee exposure risk.

Kill Reason

The CMS rule change effective January 1, 2024 moved the majority of Medicare Part D DIR fees to point-of-sale, directly addressing the retrospective exposure problem this product was designed to quantify. Building a DIR fee tracker after the primary regulatory driver has been neutralized means chasing a declining problem in a heavily regulated sector where pharmacy benefit managers and enterprise pharmacy software vendors are the natural owners of any remaining analytics needs.

What do you think?