Payers

Underwriting risk prediction that delivers unprecedented accuracy.

From pre-enrollment to post enrollment — improved understanding of members down to the clinical level.

With the rise of at-risk members, you’ve developed innovative ways to use available medical, pharmacy, and clinical encounter data to gain deeper insight into your member population. Though you understand its value, clinical lab-testing data aggregated from many sources still presents an operational challenge for you to standardize and leverage at the member profile level.

Prognos’ medical underwriting risk prediction tool is easy to operationalize and can rapidly reveal member information gaps that are essential for determining risk and making more data-driven decisions.

Immediate access to standardized lab data has significantly improved underwriting risk score accuracy. No other lab data source is as purpose-ready as Prognos.

Lead Actuary, Top 5 health payer in the Medicare Advantage market

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