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Measurable Results
Across the Member Lifecycle.
Uncover member blind spots.
Personalize your engagement.
Plans see the same story.
Surface-level data looks consistent.
1
All 3 people:
Joined 2 years ago via Direct Sales
Multiple chronic conditions
Low utilization: 3 PCP visits, 1 ED visit
No grievances in last 12 months
2
Predict uncovers what's hidden.
Deeper behavioral, social &
access insights.
High risk, low engagement
Care access barriers
Social & financial vulnerability
3
Predict guides personalized action.
Better engagement. Better outcomes. Better ROI.
Prioritize proactive
outreach and personalized engagement.
Address transportation, provider access or other barriers.
Connect this member with relevant benefits and resources
RETENTION IMPACT SCENARIO
Projection — Medicare Advantage
~$2.8M
increased annual margin per year, at 154,868-member scale, for every 1% of churn prevented.
~$22M
Retained revenue / yr
~1 pp
Est. churn reduction
154,868
Member scale
Margin uplift
$1,800 PMPY · $150 PMPM
PER-MEMBER ECONOMICS
Retained revenue
$14,400 PMPY · $1,200 PMPM
Outreach replaced
$20–30 PMPY manual spend
Quality & Stars Ratings
CUSTOMER ROI
Substantial, immediate, and long-term return.
~$22M
IMPACTED MEMBERS
$9.8M
SAVED MARGINS
30.5×
RETURN ON INVESTMENT
Retention & Protected Revenue
Member Engagement & HRA Participation
Growth, Acquisition & Medicaid
PREDICT HEALTH Results AND Outcomes
Quality and Stars Ratings
Drove STAR rating to 4.5 (vs. 3.12 market average) by redesigning key program elements. Generated $9.8M in CMS Quality Bonus Payments (QBP) and helped the plan rank as the #1 market performer in quality and member experience.
Solution: Advisory Group Management
Market: Medicare Advantage
New Member Insights and Smart Retention Improvement
Increased member ROI 12.7x by predicting pre-AEP churn, uncovering root causes with predictive member intelligence, and driving targeted actions that boosted retention and margin.
Solution: Retention Improvement / New Member Insights
Market: Medicare Advantage
Sales Channel Efficiency and Cost of Acquisition Improvement
Plan and Benefits Design
Accurately predicted 94% of e-broker member churn before AEP, revealing key drivers and enabling targeted retention and smarter acquisition that improved channel economics 24.7x and lowered CAC.
Solution: Acquisition / Retention Improvement
Market: Medicare Advantage
Identified 4 plan design benefits changes and helped refine messaging leading up to open enrollment. Plan membership grew by 10% in market that year.
Solution: Advisory Group Management
Market: Medicare Advantage
Smart Retention and Stars Life Time Value
Drove margin gains and helped the Client outperform competitors, exceeding retention in 70% of counties and Stars in 67%, by transforming limited member visibility into targeted, scalable action powered by predictive intelligence.
Solution: Advisory Group Management / Retention Improvement
Market: Medicare Advantage
800M+
Records
CUSTOMER ROI:
Predict Health is a no brainer for our customers with substantial, immediate, and long-term ROI
300M+
People
1K
Data Characteristics
Impacted
Members
34,000
Saved
Margins
$9.8M
Return on Investment
30.5x
White papers
Discover how predictive analytics, AI, and social determinants of health (SDOH) data are solving key healthcare problems and transforming the industry. Our white papers deliver expert insights, actionable strategies, and real-world impact across acquisition, retention, member engagement, and healthcare delivery.
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