Provides machine learning-driven healthcare solutions that deliver hyper-personalized patient care by predicting risks, optimizing treatment pathways, and detecting fraud, waste, and abuse. These tools enable payers, employers, and providers to reduce costs, improve health outcomes, and streamline operations through proactive, data-driven decision-making.
Funding
$16M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare often treats individuals the same, despite each person's unique characteristics and needs. Reactive, cookie-cutter approaches fail to optimize outcomes for patients, payers, employers, and providers, leading to inefficiencies and increased costs. Traditional methods of analyzing healthcare claims often miss crucial errors, particularly those involving smaller amounts, resulting in significant financial losses.
Solution
Health at Scale provides machine intelligence solutions that deliver hyper-personalized healthcare, optimizing outcomes for patients, payers, employers, and providers. Their platform uses advanced AI and machine learning to match individuals to the next best action in real-time, whether it's the ideal treatment, an early intervention, or the right provider. The company's solutions proactively predict risks, optimize treatment pathways, and detect fraud, waste, and abuse before care is authorized or payments are made. By leveraging context-aware personalization, Health at Scale improves outcomes, reduces costs, and streamlines operations through proactive, data-driven decision-making.
Target Audience
Health at Scale's primary customers include health plans, employers, TPAs, brokers, consultants, providers, and ACOs seeking to optimize healthcare delivery and reduce costs.
Features
- Precision Health: Combines targeted outreach and personalized health guidance, supported by a team of experienced clinicians.
- Precision Navigation: Offers personalized provider navigation across a wide range of specialties, procedures, and imaging.
- Precision Interception: Proactively predicts rising risks, engages members, and mitigates high-cost claimant trends.
- Precision Pharmacy: Identifies opportunities to improve adherence, close gaps in care, and reduce errors in pharmacy practices.
- Precision Wellness: Tracks health at home and promotes better food and lifestyle choices in community settings.
- Precision FWA Detection: Provides fine-grained detection of fraud, waste, and abuse before care authorization or payment.
- AI-driven fraud, waste, and abuse detection technology that identifies errors in healthcare claims, including low-dollar claims often missed by traditional methods.