Transforming payer operations with AI-driven analytics entails leveraging advanced analytics techniques and artificial intelligence (AI) to enhance various aspects of payer organizations' operations, including cost management, risk assessment, fraud detection, member engagement, and quality improvement.
Transforming payer operations with
AI-driven analytics:
ML models for payer analytics
Payer insights and predictions made easy
Care Management Analytics
SquareML's Care Management Analytics solution empowers healthcare organizations to optimize care delivery, improve patient outcomes, and control costs through data-driven insights and interventions.
Readmissions Prediction
Assess provider quality metrics, such as readmission rates, by tracking the number of readmissions within specific time frames (e.g., 30 days, 60 days) for various conditions or procedures.
Closing Gaps in Care
Leveraging advanced analytics and machine learning algorithms, our platform enables payers to analyze vast volumes of member data, identify care gaps, and implement targeted interventions to close these gaps effectively.
Cluster Analytics
SquareML's Cluster Analytics solution enables payers to gain valuable insights into their member populations by identifying meaningful LoB segments and understanding their unique needs, high-cost patterns, and risks.
Risk stratify patient populations based on clinical characteristics, socio-economic factors, and utilization patterns to identify specific cohorts that may benefit from tailored care management interventions.
Rising Risk Assessment
Medication Adherence
Provides crucial value-based care metrics, including adherence dashboard for diabetes, hypertension, statin and HIV enabling gap closure, improved patient outcomes, reducing total cost of care improving quality ratings resulting better reimbursement and bonus from CMS.
Admissions/ Discharge/ Transfer Analytics
Analyzing data related to patient admissions, discharges, and transfers to optimize bed management, streamline patient flow, and enhance care coordination within healthcare facilities.
SquareML ML models to identify high-risk segments within the member population, such as individuals with chronic conditions, high healthcare utilization, or complex care needs to prioritize interventions and allocate resources effectively.
High-Risk Segments
Actionable Insights
SquareML leverages cutting-edge AI technology to offer personalized health assessments.
Personalized AI Healthcare
Our platform simplifies the healthcare journey.
Streamlined Experience
We believe in the power of data. SquareML provides data-driven insights that help you.
Cost-Effectiveness
SquareML’s subscription-based pricing models align with the budget constraints of healthcare companies.
Interoperable
Users can integrate with existing data giving users one workspace across the AI life-cycle.
Rapid Deployment
Realize value quickly with a platform designed to deliver accelerated deployment.
Multi-Source Integrations
Offers integration with various healthcare sources, facilitating seamless data ingestion and analysis
Compliance and Security
SquareML adheres to strict regulatory requirements such as HIPAA to ensure data protection.
Scalability
SquareML’s ability to handle increasing computational demands without sacrificing performance.
Why Choose SquareML?
