Payers
Price the Risk, Size the Network, Prove the Program
The Komodo healthcare analytics AI platform gives risk, network, medical economics, and program teams a complete view of their members and the rest of the market.
Your Claims Data Ends Where Your Questions Start
Internal claims show what already happened inside your four walls. Every decision outside those walls has been running on fragments. Pricing risk. Contracting. Forecasting. Until now.
The Most Complete View of the U.S. Patient
Most “complete” datasets are aggregated, stitched, and stale. The Komodo Healthcare Map® is engineered from medical, pharmacy, lab, and clinical data into one source of truth.
AI That Survives the Audit
A wrong answer with AI can misprice risk, miss a network gap, or overstate a program’s impact. Marmot™ is Komodo’s healthcare analytics AI, built on the Healthcare Map. Every output is traceable and reproducible.
Complete and Comprehensive Are Not the Same
Your data ends at your network’s edge. The patient doesn’t. Komodo follows them: care that your network never saw, history before they enrolled, risk that hits your MLR before you saw it coming.
One Platform, Every Payer Function
Risk and underwriting. Medical economics. Network management. Program effectiveness. Market intelligence. Population health. The same Map and the same Marmot serve every team that makes consequential calls on a clock. One evidence standard across the whole payer organization.