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Find out how we can help you tackle your healthcare challenges.

Payers

Reduce Risk and Manage Care Quality with Industry-Leading Insights

Leverage the industry’s most comprehensive patient- and provider-level insights to optimize every facet of your business, from actuarial pricing to devising quality-based networks — to improving health outcomes.

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Insights at Your Fingertips

Model Actuarial Risk

Leverage artificial intelligence/machine learning to assess disease burden and predict risk-pool performance for new market areas and prospective groups. Segment populations by demographics, clinical conditions, hospitalization rates, and mortality to ensure accurate group pricing.

Learn more about our Sentinel solution

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Uncover Quality and Efficiency Insights

Tap into provider NPI lists and patient-level datasets such as cost and quality measures by zip code and specialty areas. Discover high- or low-performing providers, uncover low-coverage/high-concentration areas of opportunity, and designate centers of excellence.

Access comprehensive provider-level analytics

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Manage Member Risk

Predict early detection of chronic diseases and special needs based on criteria such as inpatient visits and emergency room utilization. Identify members eligible for care-management programs, determine level of outreach based on disease burden, and measure results.

View the patient journey in real time

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Assess Provider and Network Performance

Link your data with Komodo’s Healthcare Map and tap into our analytical modules/APIs for even more powerful predictive capabilities such as real-time monitoring of network leakage, poor performer alerts, and other provider-tracking measures.
Learn more about our Sentinel solution

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Stay Abreast of the Market

Use our suite of market-intelligence tools to quickly assess all facets of the market, including size, competitors’ share, new entrants, and dynamics — such as changing referral and leakage patterns.

Understand the market like never before