Through predictive and prescriptive analysis, we identify at-risk members and offer interventions that make the biggest difference.
For example, we’ll look to identify who has or is at-risk for a chronic condition like diabetes or high blood pressure. Then, we place them into risk categories from low to high.
Using AI, we guide each member toward a resource, service, or program that will be most beneficial to them. Low-risk members may be put into an email campaign while high-risk members could be contacted by a Nurse Advocate.
Our analytics engine also drives action through the identification of prescription cost savings, including generic availability, rebate programs, and lower-cost fulfillment options for specialty medications.