CareMap360 provides a predictive analytics platform that scores member activation, identifies disengagement drivers, and recommends optimal outreach channels to intervene before hospital readmissions become emergencies. By offering segment discovery, temporal engagement windows, and lift‑and‑cost modeling, it enables insurers, Medicare Advantage plans, and health systems to target care management precisely, reducing avoidable admissions and associated waste.
Funding
Funding not disclosed
Founders
Product
Problem
Hospital readmissions generate tens of billions of dollars in waste each year, and a large portion of that cost is linked to patients who could have been engaged earlier but were never fully activated.
Solution
CareMap360 offers a predictive analytics platform that identifies “activation gaps” among members before they become emergencies. By scoring member readiness, decomposing disengagement drivers, and recommending optimal outreach channels, the platform enables care teams to target interventions precisely when patients are most likely to respond. It also provides segment discovery and temporal engagement windows to align outreach with life events, allowing finance and care management to quantify projected lift and cost savings for each strategy. The result is a shift from reactive, costly readmission treatment to proactive, data‑driven member activation that reduces avoidable admissions and improves member trust.
Target Audience
Primary customers are health insurers, Medicare Advantage plans, and integrated health systems that manage large member populations and seek to reduce readmission costs through targeted care management.
Features
- Member Activation Scores that rank individuals by current likelihood to engage with care interventions
- Disengagement Driver Decomposition to pinpoint specific reasons for patient inactivity
- Outreach Channel Recommender that suggests the most effective communication mode based on clinical need and demographics
- Segment Discovery tools to create and evaluate targeted cohorts for outreach campaigns
- Temporal Engagement Windows that align outreach timing with life‑event periods when patients are most receptive
- Predictive lift and cost modeling to translate outreach strategies into projected financial savings