Neuron for Health Insurers

The smart players in this brutally competitive market of the future likely will demand positive margins at an increasingly granular level—that is, within each product line and from each market segment. Like any insurer, you will accept risk, but are looking to minimize losses. Neuron can help.

For example, Neuron can simultaneously watch millions of health claims data records, fusing that together with disease patterns and trends from the CDC, cross referencing that with recent studies released from major universities around the world. Neuron identifies key member profiles with a proclivity to develop Diabetes over the next 18-24 months.  Neuron offers a recommendation for the right preventative treatment to the right members in order to reduce the likelihood of those groups developing specific illnesses. Neuron then monitors the results of those recommendations to refine its recommendations in the future. The result is an overall reduced cost to the insurers and a smarter way to help their members take control of managing their health.

  • Optimize your rating methodologies.
  • Advance your target marketing.
  • Revolutionize Benefit Design.
  • Launch new products targeted to under-served market niches.

    • Neuron can help predict costs and help you to optimize price and target markets accordingly. As a result, your prices for the best risks will be better than the competition. We can help you earn superior returns due to better alignment between premiums and costs.

    Health insurance is a competitive industry. Like any competitive pursuit, success requires staying out ahead of the competition. It is easy to get started with Neuron’s powerful predictive analytics, automated recommendation engine and advanced collaboration with a simple learning curve.

    Key Benefits

    With Neuron's powerful analytic capabilities, your organization is better equipped to meet its goals for reducing costs and raising profitability and return on investment.

    • Disease Management. Effectively manage clinical risk and gain control of high-cost diseases by uncovering early indicators for illness and helping offer the right services to the right members to reduce costs and improve patient outcome.
    • Customer Insight. Rapidly detect and respond to your most profitable members and employer groups. Neuron delivers insights into which agents bring in the most members and provide advanced insight into those members most likely to leave your plan.
    • Health Plan Intelligence. Quickly collaborate on your most complex challenges by analyzing and uncovering cost and funding balances; understand the factors that affect premium costs and program rates; align book-of-business and line-of-business profitability; and predict activities related to fraud before they occur.
    • Fraud Detection. Reduce claims costs and losses due to fraud by making predictive, accurate claims decisions before claims are paid. Neuron constantly monitors your data landscape, identify suspect activity and  support digital team collaboration to improve identification, recovery and prosecution efforts.