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We accurately predict high-cost claimants in health plans using machine learning and AI to enable better underwriting.
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is built for

Carriers

Increase underwriting accuracy with insights that help maintain financial resilience and minimize risk.
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Evaluate risk profiles by leveraging Merit’s longitudinal patient journey data, providing a clear picture of potential future liabilities

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Benefits Consultants

Design health plan strategies using the latest risk-management technology, ensuring appropriate coverage for your clients' needs.

Use predictive analytics to recommend coverage strategies that shield clients from catastrophic claims while maintaining cost-effective coverage.

Employers

Accurately forecast your healthcare spend, reducing financial uncertainty while ensuring you meet the unique healthcare needs of your population.

Leverage comprehensive and interactive risk reporting to make informed decisions about employee healthcare benefits, minimizing financial exposure.

 

Leverage data to proactively manage health plan risks and achieve better financial results.

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Unlock Immediate Value with Merit Medicine

Predictive Analytics

Anticipate high-dollar claims and premium fluctuations with our advanced AI tools, ensuring you’re always one step ahead.

Proactive Care

With our immediate insights, support care navigation to promote preventative care, early intervention, and proactive disease management.

Risk Management

 Identify and stratify high-cost events in advance, and support high-risk health plan members before they become high-cost claimants,

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Data on a Touch Pad

The Merit Medicine Difference

Our algorithms accurately predict high-cost claims at the member-level, enabling significantly better underwriting in health plans for carriers, employers, and risk-bearing providers.
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