Risk

management

Discover advanced predictive tools to automate your requirements, enhance your assessments, and sharpen your strategic decision-making.

Identify, project, and mitigate your greatest liabilities

Whether you’re underwriting health plan premiums, assessing potential member groups, or determining stop-loss levels, you need clarity that’s to find in today’s claims landscape. For that, there’s the AMS PREDICT platform: the premiere risk management solutions for health, stop-loss, and reinsurance underwriters.

Harness the power of PREDICT to proactively pinpoint the biggest cost-drivers in your market.

Get reference-based guidance for your risk models, premium designs, and plan recommendations.

Get financial and clinical insights to guide your risk mitigation strategies.

The AMS PREDICT Suite: Three powerhouse risk management tools

Together, they provide comprehensive, continually updated data on the biggest cost-drivers in today’s healthcare system – the data you need to make smart, risk-savvy decisions for your plans, premiums, and business.

Catastrophic diagnoses

Detailed clinical and financial data for diagnoses with the most cost-intensive standards of care.

Specialty drugs

The ultimate resource for comprehensive data on the market’s most costly therapies.

Implants & devices

The only industry’s only fully transparent pricing directory for these high-cost categories.

Plan for costly,

complex diagnoses

Plan for costly, complex diagnoses

PredictDx is the definitive on-demand resource for detailed clinical information, empirical insight, and financial analytics on the costliest medical diagnoses.

With one tool, it delivers precise data on allowed, billed, and paid costs from 140+ networks and Medicare reimbursements – enabling you project liabilities, set reserves, strategize cost containment, validate SOCs, and skip hours of data mining.

Draw on unrivaled data sources

processed charges

190 B

unique insurance networks

250

allowed over 515M claim lines

$ 90 B

states’ allowed and billed claims data

CPT codes

44300

ICD 10 Codes

13750

Easily access standards of care for high-cost diagnoses, treatments and therapies, investigatory issues, common complications, and physician comments. More about AMS

Clinical insightsPREDICTDX

Predict potential liabilities by reviewing both national and state-level claims data and both billed and allowed ranges for high-cost therapies. More about AMS

Financial insightsPREDICTDX

of specialty drugs

With specialty spend continuing to surge, PredictRX helps you project reasonable costs for clinically appropriate prescriptions.

With this comprehensive resource, you can easily gather the clinical input and benchmarked cost data you need to accurately predict the impact of specialty pharmacy costs.

Look closer at the costliest prescriptions

specialty drugs analyzed

0 +

FDA-approved, off-label & horizon indications

distinct price benchmarks

Access adult and pediatric dosing regimens, lines of therapy, and physician commentary for a wide range of specialty drugs – including FDA-approved labels, off-label uses, and horizon indications.

Clinical insightsPREDICTRX

Quickly review key financial benchmarks for specialty drugs, including average PBM cost, average provider cost, and projected annual cost.

Financial insightsPREDICTRX

providers pay for

implants & devices

Know what providers pay for implants & devices

PredictIx is the industry’s only source for fully transparent data on the actual price providers pay for surgical devices and common implant-related procedures. It’s the tool you need to accurately assess risks in a covered population, identify inflated costs, and secure your leverage in network contracting.

Harness comprehensive device & implant data

implant categories

2900

unique implants

actual price points

reporting facilities

3000

reporting vendors

4700 +

purchased implant amounts

$ 15 B

For each implant and device, PredictIx provides valuable clinical context on the product’s usage, common complications, and therapeutic considerations.

Clinical insightsPREDICTIX

Assess your potential liabilities by reviewing actual implant cost information by vendor, catalog number, or category. PredictIx provides low, high, and average costs at both the national and state level.

Financial insightsPREDICTIX

Get detailed, comprehensive cost analytics for the most common implant-related procedures, including both cumulative cost and line item detail.

Bundled pricing modulePREDICTIX

OF STOP-LOSS & REINSURANCE PREMIUMS AUTOMATED BY AMS

> 0 %

Industry experts trust AMS

Every year, they use our technology to automate 9 out of 10 stop-loss and reinsurance premiums written in the US.

Revolutionize risk management with AMS solutions.

Identify, assess, and mitigate more effectively than ever with AMS PREDICT technologies from the market leader in risk management.

PREDICT Platform

PREDICT Platform

Risk

management

Identify, project, and mitigate your greatest liabilities

The AMS PREDICT Suite: Three powerhouse risk management tools

Catastrophic diagnoses

Specialty drugs

Implants & devices

Plan for costly,

complex diagnoses

Plan for costly, complex diagnoses

Draw on unrivaled data sources

Evaluate the use & cost

of specialty drugs

Look closer at the costliest prescriptions

Know what

providers pay for

implants & devices

Know what providers pay for implants & devices

Harness comprehensive device & implant data

Industry experts trust AMS

More AMS risk management solutions

Profiler: Unrivaled predictive analytics

CensusRater: Small group underwriting

Revolutionize risk management with AMS solutions.

PREDICT Platform