Medical Underwriting

Underwrite the future, not the past

RiskInsight empowers health plan underwriters to move from predictions based on past utilization to AI-driven predictive analytics based on future health events—with unmatched accuracy as to WHICH employees and WHAT events will occur—as well as WHEN they will occur.

Built upon our industry-unique AI Foundation Model, Prealize RiskInsight is a paradigm shift that outperforms traditional predictive models and limited machine learning solutions in every way.

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For Group Health and Stop Loss business, RiskInsight gives underwriters unmatched capability and accuracy.

  • Precision accuracy for all commercial business segments, including manually rated groups.
  • Group level predictions paired with individual member-level predictions to produce the utmost accuracy.
  • Higher accuracy on much smaller groups compared to traditional solutions.
  • New group predictive insights beyond risk scores, including PMPY, ED, Inpatient, and the top five clinical drivers.
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