powering
proactive
healthcare
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We use machine learning to transform healthcare from reactive to proactive, so that more people can live healthier lives.
We identify next year’s new high cost members before a high cost event occurs. And work with clinician teams to precisely target interventions that improve the quality of care and contain costs.
Identifying who needs care is just the start.
See how we are connecting predictions to actions across healthcare.
Cost Bloom Mitigation
We identify next year's risk and find the most impactable members for clinical outreach before their health worsens.
Steerage Precision
We predict high cost clinical procedures like knee and hip surgery to enable earlier outreach for finding the highest value provider.
Risk Assessment
We predict prospective and retrospective cost, to enable the most accurate cost projections, pricing, and risk adjustment.
John Coughlin
VP Informatics and Analytics, Optima Health
“As part of a consumer-focused integrated health system, we believe Optima Health must be at the forefront of healthcare transformation. Our partnership with Prealize extends this leadership, enabling us to fundamentally change how we deliver healthcare and truly begin solving for population health. Given that Prealize's offering was better at identifying rising risk members than our existing approach, we are tremendously excited to leverage this solution at scale. I look forward to seeing the outcomes for our members as our clinical team begins proactive engagement, and ultimately extending these capabilities to the providers and patients in our health system.”
Colt Courtright
Director of Corporate Data and Analytics, Premera Blue Cross
“Using advanced prediction and data science with healthcare data is providing new value in healthcare innovation. By working with Prealize, we’re able to leverage unique predictive capabilities and bring new solutions to the market that benefit Premera customers. Premera is able to identify a customer who appears to be at risk of a significant increase in their medical needs. Premera’s care management team can then create a plan to address and potentially mitigate these medical needs, directly with the patient or provider.”