Services / Advanced Analytics & Data Science
Advanced Analytics & Data Science
Production-grade predictive models and data science infrastructure for health payers.
Population Health & Predictive Analytics
- Disease prevalence and risk stratification models
- Chronic condition identification and intervention targeting
- Readmission and ED utilization prediction
- Social determinants of health (SDOH) analytics
Claims & Utilization Analytics
- Claims data warehousing and normalization
- Cost and utilization trend analysis
- Provider-level performance benchmarking
- DRG and episode-of-care analytics
Stars Ratings & Quality Improvement
- HEDIS and CAHPS measure analytics
- Stars bonus payment modeling
- Gap-closure campaign targeting
- Quality measure trend forecasting
Value-Based Care & Payment Model Design
- ACO and shared savings program analytics
- Bundled payment program modeling
- Quality-adjusted performance metrics
- Network performance and attribution analytics
Machine Learning & AI-Driven Tools
- Gradient boosting and neural network risk models
- Natural language processing for clinical notes
- Automated HCC suspect identification
- Production deployment and MLOps support
See our analytics in action
Request a demo of our RA Horizon platform or StarsTracker dashboard.