AMS
50 Salem Street
Building A, Suite 106
Lynnfield, MA 01940

Knowledge Is Power

Our AI-powered Predict Platform combines clinical insights and financial analysis of the costliest and most complex medical diagnoses to guide enterprise-wide initiatives.

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Special Problems Require Special Solutions

We built The Predict Platform specifically to analyze, identify and report on the 5% of members driving 50% of total medical spend. ​Our innovative platform is a data driven analytics powerhouse able to pinpoint the drivers of high-cost claims that PBMs and cost-containment companies are ill-equipped to find.

Special Problems

Drivers of High-Cost Claims

  • Catastrofic diagnoses

    Catastrophic Diagnoses

    2.2% of claimants generate 23% of total reimbursements

  • Specialty drugs

    Specialty Drugs

    Represent 2% of total prescription volume but account for 50% of total drug spend

  • Implants

    Implants & Devices

    Nearly 6% of all medical costs totaling over $175 billion annually

The Predict Platform

We weren't impressed with the status quo of one-dimensional health plan analytics ... so we did something about it.

We built an innovative healthcare IT platform powered by thousands of in-depth clinical review algorithms and advanced financial analytics to deliver the next generation of insight into high-cost claims. The Predict Platform quickly analyzes data to seek out specialty drug claims, inflated medical implant charges, and clinically inappropriate treatments and dosing regimens.​

With dynamic reporting capabilities, continuous database updates, clinical insight and projections for high-cost members, The Predict Platform provides the strategic intelligence required to confidently guide business initiatives.​

The Predict Platform is undeniably the most comprehensive and versatile resource for intelligent data analytics available today.

  • Our cloud-based platform that enhances risk mitigation efforts with three modules focusing on a specific cost-driver; Complex Diagnoses, Specialty Drugs and Medical Implants.

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  • FACS is a financial and clinical surveillance engine that leverages the Predict Suite to automatically examine claims, flagging those that warrant additional review.

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  • Profiler leverages Predict Suite analytics to identify, report on, and project future costs of members with catastrophic diagnoses.

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Housed on the Predict Platform, the Predict Suite includes three continuously updated data modules, each focusing on the three main cost-drivers. Each includes clinical insights and financial analytics that encompasses data representing the entire payer marketplace.

  • Catastrophic Diagnoses

    In-depth clinical and financial data for the costliest diagnoses

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  • Specialty Drugs

    The ultimate resource for specialty drug data and spend

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  • Implants & Devices

    The only fully transparent implant cost directory in the marketplace

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One Platform. Several Solutions.

The Predict Platform's comprehensive clinical insights and physician commentary streamlines time spent by case managers searching multiple single solution platforms.

It's advanced financial analytics flag high-cost claims for that require immediate attention and predicts future courses of treatment and costs for members with complex diagnoses.

A powerful resource with enterprise-wide solutions.

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  • Payment Integrity

    Payment Intelligence

  • Network Performance

    Network Performance

  • Predictive Analytics

    Predictive Analytics

  • Network Contracting

    Network Contracting

  • Member Reporting

    Member Reporting

  • Clinical Intelligence

    Clinical Intelligence

  • Financial Analytics

    Financial Analytics

  • Specialty drugs

    Specialty Drug Updates

Features and Benefits

  • Strategic Inteligence

    Strategic Intelligence

    Dynamic dashboards report key information quickly and clearly

  • Subscription-Based

    Monthly fee schedules based on individual module or full product catalog

  • Minimal Integration

    Minimal Integration

    Cloud-based SaaS platform works independently of existing systems

  • HIPAA Compliant

    Compliant and Secure

    HIPAA compliant and HITRUST certified

Contact Us

AMS
50 Salem Street
Building A, Suite 106
Lynnfield, MA 01940
  • 855.224.9711
  • 781.224.9711
  • 781.224.9713
  • info@mdstrat.com