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
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Accorded
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Accorded Acumen
Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Digital Health Provider, Ambulatory Practice, Health Plan, Hospital / Health System, Risk-Bearing Providers, Employers, Life Sciences
Product Overview
Security and Compliance Certifications: SOC 2 Type 1, HIPAA
Accorded Acumen 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. It features extensible modeling for various healthcare scenarios, is compatible with multiple data sources, and offers customizable actuarial methodologies.
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Claros Analytics
Claimed
Claros Analytics
Company Info
Founded: 2015
Headcount: 11-50
Customers
Customers Served: Health Plan
Product Overview
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. They also offer web-based capabilities for more flexible use, faster deployment, and integration into existing workflows.
DigitalOwl
Claimed
DigitalOwl
Company Info
Founded: 2017
Headcount: 51-200
Customers
Verified Customers: 1
Customers Served: Health Plan, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
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.
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1m
1m
Company Info
Founded: 2022
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
1m offers advanced predictive analytics for healthcare organizations through its flagship product, 1m Canary. This platform uses an auto-predictive algorithm to forecast healthcare utilization and financial performance, providing real-time alerts and insights without the need for human intervention. It helps organizations quickly identify and respond to shifts in business operations, optimizing performance, and financial outcomes. 1m Canary is designed to enhance operational efficiency, revenue management, and cost control by continuously updating forecasts and generating actionable insights.
Milliman
Milliman
Company Info
Founded: 1947
Headcount: 1001-5000
Customers
Customers Served: Health Plan, Risk-Bearing Providers
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, GDPR
Milliman is a provider of actuarial products and services. Milliman’s healthcare division offers data analytics, consulting and actuarial services. Payers and providers work with Milliman on value-based care contracting strategy, pricing and risk-adjusted performance evaluation.
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Syntax Health
Syntax
Company Info
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan, Employers
Product Overview
Security and Compliance Certifications: HIPAA
Syntax is a value-based care contracting company that provides modeling and negotiation support for health plans, providers and employers. Their services include contract analytics to support evaluation of different reimbursement models and guidance on negotiating contract terms such as attribution and carve-outs.
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