2024

PredictPx

Entrant

Advanced Medical Strategies LLC

Category

Technology Solutions - Analytic Solution

Client's Name

Borislow Insurance

Country / Region

United States

A healthcare price transparency tool that enables users to perform in-depth analysis and take actionable insights from the complex, disparate hospital and health plan price transparency data. PredictPx empowers organizations to navigate the complexities of healthcare reimbursements with confidence and precision, enabling data-driven decisions to drive organizational success, including: Network Contracting Optimization & Analysis
Cost Containment Strategies
Underwriting Risk Projection Modeling
Customized Healthcare Solutions/Plan Optimization
PredictPx has been developed by industry leading subject matter experts leveraging cutting edge machine learning techniques, enabling AMS to continue its ability to continue to provide access to quality data and insights to the industry for over 2 decades.
Features & Benefits
Extensive Data: With access to over 18B records from over 5k+ providers and ~100 Top health plans, PredictPx includes over 94M useable price transparency rates, and is supplemented
with key benchmark data, including:
• Medicare rates
• Provider Cost Reporting
• Historical claims/allowed.
• Data integrity grading
• Provider quality scores
• Patient survey scores
Easy to use Interface
An intuitive interface designed for effortless navigation and analysis with a wide array of filtering and chart visualization tools, including:
• Medical Coding Type
• Procedure Category
• Geography (down to zip code)
• Hospital
• Health Plan Network
• Health Plan Type
• Hospital Quality and Patient Scoring

Credits

CEO
Peter Borans
Vice President, Data Analytics
Kirk Weishaar
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