AI/ML-based Medicare Plan Simulation Platform enabling Carriers to optimize plan design, strategize benefits, finalize footprint and rationalize product portfolio.
Current Status
We are a revenue generating company. Our Platform is the most comprehensive in the industry for what it does. We are planning to move to a cloud-based self-service model for Payers and other clients to drive scalability and turbocharge growth (hence current capital raise).
Problem or Opportunity
Medicare Advantage is a huge market ($500B+). Competition is fierce and Payers are under increasing financial pressure on multiple fronts. All of them are struggling with how to retain and grow market share while preserving margins and providing value.
Solution (product or service)
Our AI/ML-based Integrated Plan Platform helps Payers simulate plan performance in order to optimize product design, marketing, geography and much more. Focused on Medicare Advantage Plans.
Business model
Engagements are priced by application (product design, marketing...) and geography/number of enrollees. While Payers are the primary target, other potential customers include device manufacturers, digital health service providers and benefit/service providers.
