Risk Modeling
Risk Modeling products specialize in using data and predictive modeling to assess and manage risks associated with healthcare plans and patient outcomes. They focus on analyzing large datasets to predict healthcare costs, patient health trajectories, and the impact of interventions. These services typically leverage machine learning and statistical algorithms to forecast risk and to help healthcare providers, insurers, and policymakers make informed decisions. Some of the core capabilities include:
• Cost and benefits projections across different types of interventions
• Risk assessment for self-funded plans to enable budgeting and reserves-building
6 Results
Related Categories
Accorded
Accorded Platform
Accorded is an actuarial and health data platform designed for modeling value-based care, with a range of data engineering and analytical capabilities to support financial modeling, risk management, and contract analytics.
DigitalOwl
DigitalOwl
DigitalOwl is an AI clinical summarization platform for insurance and legal workflows- it extracts and organizes key medical data from records, delivering summaries for claims processing, underwriting, and fraud detection.
Claros Analytics
Claros Analytics
Claros Analytics offers advanced predictive analytics for the health benefits industry, enabling users to assess and manage risk in healthcare plans effectively. Some of their solutions include projecting plan costs, evaluating self-funding risk and rewards, budgeting, and building IBNR reserves.
Milliman
Milliman
Milliman is a provider of actuarial products and services that can support payers and providers with value-based care contracting strategy, pricing and risk-adjusted performance evaluation.
Rivet
Rivet
Rivet Health offers products for managing payer contracts, GFEs and patient responsibility estimates, and underpayment resolution.
Syntax Health
Syntax
Syntax is a value-based care contracting company that provides modeling and negotiation support for health plans, providers and employers.
