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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/Prealize Health
Prealize Health

Prealize Health

Founded 2015

Predict future health events and costs to underwrite group risks and manage care

Pricing model

Demo

You can use Prealize to forecast medical costs, identify future health events, and assess member risk. It uses foundation models trained on healthcare claims data to predict when specific health conditions will happen and what they will cost. Insurance underwriters use these predictions to calculate pricing and evaluate stop-loss coverage for groups. Care teams can pinpoint members likely to suffer from chronic issues early and reach out before conditions worsen. Additionally, it reveals which members will respond best to specific communication methods for preventive care.

What Prealize Health does

Calculate expected group healthcare claims and risk scoresIdentify members needing early medical interventionsForecast time-to-event probabilities for chronic conditionsDetermine optimal outreach channels for individual patientsAssess underwriting margins for level-funded benefit plansGenerate predictive risk profiles from historical claims datasetsPredicts specific health events and their exact timingTrains on claims data using a medical foundation modelCalculates financial risk forecasts for group underwritingEvaluates stop-loss coverage and group risk factorsPinpoints high-risk members for early care management interventionDetermines preferred communication channels for member outreach

Pricing breakdown

Pricing model: Book a demo

Frequently asked

Clarify Health (Strategic partnership), Underwriting Workbenches, Stop-loss Carrier Systems, PEO Management Software, Claims Data Warehouses

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Prealize, Prealize Health, healthcare predictive analytics, insurance underwriting, MetisAI, health risk prediction, stop loss underwriting, claims data, actuarial models, time to event prediction, care management, medical cost forecasting, member engagement, healthcare AI, risk management