Transform Risk, Cost & Network Performance With Industry-Leading Insights
Leverage real-world patient insights for precision risk modeling, cost management, program effectiveness, and provider network optimization
Helping the World’s Leading Companies
Insights at Your Fingertips
Improve Care Management With Early Detection and Outreach
Enable early detection of chronic diseases and complex health conditions based on criteria such as inpatient or emergency department visits. Identify members eligible for care-management programs, determine level of outreach based on disease burden, and measure results.
Enhance Actuarial Risk Modeling
Use artificial intelligence and machine learning to evaluate disease burden and predict risk pool performance for new market areas and prospective groups. Segment populations based on demographics, clinical conditions, hospitalization rates, and mortality to support precise group pricing.
Interested in Learning More? Let’s Connect!
Find out how we can help you overcome your biggest healthcare challenges.
Strengthen Provider and Network Performance
Link your data with Komodo’s Healthcare Map® and tap into our analytical modules and APIs for even more powerful predictive capabilities, such as real-time monitoring of network leakage, poor performer alerts, and other provider-tracking measures.
Uncover Quality and Efficiency Insights
Access provider NPI lists and patient-level datasets, including cost and quality measures by zip code and specialty. Identify high- or low-performing providers, evaluate areas with low coverage or high concentrations, and designate centers of excellence to strengthen networks and inform payer strategies.
Outpace Market Trends
Use our comprehensive market intelligence tools to assess key market dynamics, including size, competitor share, emerging entrants, and shifting referral patterns. Gain clarity on network performance and out-of-network care trends to optimize strategies and reduce revenue leakage.
The Komodo Difference
We’ve set the Evidentiary Standard with the industry’s most accurate, in-depth patient insights. Coupled with our AI-enabled and fit-for-purpose software, we unlock a velocity advantage for our customers.