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 Acumen logo
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
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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 logo
DigitalOwl
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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.
Milliman logo
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.
Syntax logo
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.