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Advanced Medical Strategies provides predictive clinical and financial analytic tools, allowing payers deep insight into catastrophic healthcare claims.

Evaluate and predict costs & clinical treatments for high dollar diagnoses by state with in-depth information on pending investigational therapies, pipeline drugs, and up to date physician commentary on standards of care treatment protocols


A comprehensive solution for specialty drugs that evaluates cost data, FDA approved indications, notable off-label usage, adult and pediatric dosing regimens, specialty drug coding, and critical physician commentary


The only online, fully transparent implant cost directory in the industry. ImplantDx offers clients the references they need for implant cost containment with on demand analytics

The Predict Suite – Something for Everyone

Understanding & Predicting Risk

Increased Productivity

Loss Ratio Management

Invoice Validation

The Predict Suite provides industry-leading modular clinical and financial cost and predictive analytical solutions through a web-based platform and supplementary professional services. This platform allows payers to address the challenges associated with managing, reimbursing, and underwriting catastrophic medical claims. With just a login and password executives, claims managers, sales professionals and underwriting teams can gain valuable insight into the critical information needed to be effective in today’s healthcare environment.




reduction in claims cost



increase in quality assurance



saved on average


For Every Service We Perform, Your Success is Our Priority

As a physician-led organization, Advanced Medical Strategies brings forth some of the most innovative & proactive solutions in the Health Care and Workers’ Compensation Payor industry today. In addition to saving our clients time and money, we provide peace of mind when dealing with all complicated pieces that can happen when reimbursing claims.

What We Achieve

♦ A clinical and financial view of claims to produce the best possible outcome

♦ Claims savings via fair and defensible claim reviews

♦ Peace of mind with unbiased clinical reviews in complex cases

♦ Simplification of complex cases through complimentary screening process

♦ Maintaining collaborative relationships by recognizing payor politics

  • Nearly half of a group of people with multiple sclerosis who were treated with autologous haematopoietic stem cell transplantation (AHSCT) survived for at least five years following the transplant without disease progression, UK-led research has found. Authors of the large observational study,* published online in JAMA Neurology, have now called for full randomised controlled trials… Read More »
  • The U.S. Justice Department has joined a whistle-blower lawsuit claiming that UnitedHealth Group and affiliated health plans have been gaming the Medicare program and fraudulently collecting millions of dollars by claiming patients were sicker than they really were. The lawsuit, initially brought in 2011 and unsealed Thursday after a five-year investigation by the Justice Department,… Read More »



dollars Saved

We have saved tens of millions of dollars for our clients and subscribers



We have retained 100% of our subscribers


Sub Specialty

700+ specialty physicians in our peer review panel


Weekly Hours

We have saved our clients and subscribers 100’s of weekly hours in research, analysis, and underwriting