Predict what matters most
The intelligent and
automated healthcare
cost management platform.
automated healthcare
cost management platform.
Healthcare intelligence should serve those who need it most.
We believe every dollar wasted on healthcare inefficiency is a dollar stolen from innovation and from an individual’s wellbeing. That’s why we created a claims analytics intelligence platform to analyze and predict healthcare costs that saves millions of dollars and impact millions of lives.
Insights
Transform unstructured healthcare data into intelligent insights that uncover hidden waste, fraud, and inefficiencies costing your organization thousands.
Action
Forecast future healthcare costs with AI-powered predictive modeling to identify high-risk members up to 12 months in advance.
Automation
Reduce costs by 20-30%, negotiate better contracts, and improve care quality with clear, automated recommendations.
Prescriptive, automated healthcare consulting you can trust.
Medical, Clinical & Rx
Access comprehensive claims analysis, complete pharmacy audit capabilities, formulary optimization, and population health management via pharmaceutical compliance and pharmacogenomic (PGx) insights.
Risk
Conduct advanced risk profiling that uses Johns Hopkins ACG grouping technology and our proprietary Risk Compass for census-based projections — even from minimal demographic data.
Payment Integrity
Utilize advanced algorithms to mine medical and pharmacy data so you can take concrete actions to minimize waste and prevent inefficiencies from recurring.
Clinical and business outcomes driven by enriched intelligence.
Health Cost IQ is your partner in improving business growth and employee healthcare outcomes. Our customers see millions of dollars in savings faster than our competitors thanks to our technology and strategic, hands-on implementation.
$2.5M
in identified medical claims overpayment by a PEO
$1.5M
saved stop-loss coverage by an education consortium
$300K
in reduced admin costs by a medical management company
We work with some of the largest brokers, employers, and PEOs to serve Fortune 500 companies across the US.
For Brokers & Consultants
Go beyond cost transparency. Our tools help you become the strategic consultant that employers can’t function without.
For PEOs
Assess new employer group risk in just 15 minutes, so you can prioritize and price premiums competitively. Differentiate from other less strategic PEOs.
For Employers
Become a strategic asset within your company. Analyze and predict healthcare cost outcomes confidently with our innovative platform.
Don’t take it from us – listen to our customers
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Actionable intelligence built by the brightest minds in healthcare
Fueled by AI, Health Cost IQ unifies multiple modules into one sophisticated, trustworthy platform. Get the most powerful healthcare data at your fingertips without waiting for complicated reports.
Our Pillars of Intelligence
Specialized Partnerships
Backed by Mark Cuban Cost Plus Drugs and Johns Hopkins for risk prediction.
Advanced Predictive Analytics
Predict future disease development and ensure better health outcomes for all.
Near-Zero Hallucination AI
Trained exclusively on healthcare data, our proprietary technology is accurate and dependable.
We don’t want to simply show you what happened. We help you prevent what shouldn’t happen in the first place.
The future of healthcare intelligence is real-time intervention.
Make decisions automatically, accurately, and immediately.
Make decisions automatically, accurately, and immediately.
Trustworthy intelligence for healthcare.
Built on data. Powered by purpose.
Proven by results.
