Drive sustainable and profitable growth using Explainable AI.
 

Optimize MAPD and D-SNP plan design, marketing, star ratings, geography and much more... 

Make critical decisions with trust and confidence using Explainable AI.

Simulate plan performance using AI/ML.

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Overcome capacity limitations. Simulate, Predict and Rank performance of various plan alternatives across features and benefits.

Get insights by plan, county & segment.

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Predict plan performance by county and dozens of granular customer segments. Drive growth while managing utilization and other KPIs. 

Manage impact of various features and factors.  

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Understand and manage the impact of various plan features and other factors like SDoH. Make better decisions and trade-offs. Iterate as often as needed. 

Turbocharge Plan Performance.

Optimize Product Design

Decide on cost-sharing and supplementary benefits, including utilization.
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Analyze the impact of various features and benefits on plan performance. Generate and rank scenarios to meet various KPIs. Iterate as needed to deliver better product.

Localize Marketing

Every county is different. Go local.
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Hyper target dozens of customer segments. Get insights on potential feature popularity. Localize messaging for higher marketing ROI.

Improve Star Ratings

Score higher on the Health Equity Index.
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Ensure plans are aligned with SDoH and health equity needs. Meet CMS criteria for higher Star Rating. Improve top and bottom lines.

Streamline Footprint  

   Create optimal mix of plans and geographies.   
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Rationalize product portfolio and service area footprint based on organizational strategy and M&A. Decide where to offer which plan.  

SOLUTIONS

RESOURCES

LEGAL
 2570 N 1st St., Ste 200
San Jose, CA 95131
 
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