⚡️96%+ accurate MA growth predictions & access PBP data in just ⏱️72hrs after CMS release!

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Market Intelligence solutions

An AI-powered Medicare Advantage platform that delivers innovative Product and Market Intelligence solutions by leveraging public and private healthcare data.

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Solutions

Seamless Solutions For Healthcare Payors

MarketIntel+™ provides quick and efficient access to complex national level Medicare Advantage market data & analytics in an easy to understand and appealing visual format.

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ProductIntel™ is designed specifically for Medicare Advantage product design teams, providing key analytics for bid development and product lifecycle management.

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With NetworkIntel™, you can quickly analyze the competitiveness of each Provider Network in the market, compare composition down to the NPI, and increase the marketability of your networks.

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Insights

To Help Power Decision Making

Q2 2025 Earnings Call Consolidated Report

Q2 2025 health payer earnings: UnitedHealth, Humana, CVS, Elevance, Molina, Alignment &...
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Q2 2025 Earning Insights: CVS Health

CVS Health Q2 2025: Revenue up 8% to $99B, EPS $1.81, raised...
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Q2 2025 Earning Insights: Humana

Humana Q2 2025 beat expectations with strong CenterWell Pharmacy and MA growth....
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Q2 2025 Earning Insights: Alignment Healthcare

Alignment Healthcare Q2 2025 exceeded guidance with 28% MA growth, 49% revenue...
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Q2 2025 Earning Insights: UnitedHealth Group

UnitedHealth Q2 2025: Revenue +13% to $112B, EPS $4.08 on $6.5B unplanned...
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Q2 2025 Earning Insights: Centene

Centene Q2 2025: $0.16 loss despite 18% revenue rise. High Medicaid/ACA costs...
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The HealthWorksAI Advantage

In the highly competitive market of Medicare Advantage, every strategic decision requires fast and efficient access to complex data, accurate predictions, and a reliable single source-of-truth for critical analytics. Disruption in any one of those requirements can have a devastating, long-term impact on an organizations ability to compete and acquire market share.

HealthWorksAI provides Health Plans with solutions that deliver crucial data & advanced analytics at the Speed of Business. With years of national level market data, advanced analytics modeling, and proprietary simulators accessible with a single click, we provide a true Gift of Time and allow organizations to focus on the important strategic decisions instead of cumbersome data processes.

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What Our Clients Say

*Client identities are masked due to confidentiality agreements. References are available upon request.

"My coworkers, manager and I love the site! It's very user-friendly, has made a lot of our benefits and competitor analysis so much easier, and has streamlined a lot of our reporting!"
- Medicare Operations Consultant
"We are getting a lot of good use out of your HWAI tools. The data has been very useful to us in analyzing our market. "
- Director Medicare Product
“As a Medicare Sales Manager, I would spend weeks at a time trying to gather this information. The platform has provided me with tools and data at my fingertips. Not only that, it is so easy to use and read. "
- Medicare Sales Manager
“The Benefit Simulator has become a critical tool in our Bid planning process. It gave my team the opportunity to quickly forecast outcomes based on potential plan design changes and guided many of our final strategic directions.”
– Manager of Medicare Programs
“We were spending many hours calculating market share by state, region & county from CMS data. HealthWorksAI solved that issue for us with just a couple of clicks. Now we have the opportunity to leverage the more advanced features and understand the core reasons why certain things are happening.”
– Director of Medicare Products
“Your enrollment predictions are extremely helpful in our leadership meetings. Having the expected numbers before AEP has started allowed us to level-set expectations and begin creating strategies to shore up markets where growth was predicted to be lower than our goals.”
– Head of Medicare Planning & Strategy
“The tool itself is great, easy to use, and has all the information we need. The service you provide is quick to answer and quick to move forward. It helps us that you guys are the ones who are innovating.”
– Manager of Market Analytics
“The team’s in-depth analysis of our market supported our long-term strategic decisions. Being able to quantify which specific benefits are influencing enrollment has been a game changer and eye opening for our product design team.”
– Director Market Strategy
“When we met HealthWorksAI the first time, you explained that your product sits at the intersection of business, math, and technology. It wasn’t until we became clients that we understood how important that is. Anytime we have a question on market analytics or strategic direction, your team is quick to answer from both a data science and business standpoint. Best partners ever!”
– Product Development Leader
“The platform really helps us evaluate the performance of our campaigns and reallocate our spend to increase lead gen. Having a clear picture of the halo effect between channels, and how to balance our channel allocation, has changed the way we plan.”
– Marketing Analytics Manager
“I love working with the Client Success team. They’ve been great and even helped put together content slides for a presentation. It was well received and my feedback has been overwhelmingly positive.”
– Director of Product Innovation
“From an innovation standpoint, I can’t think of a better company to partner with. The team was able to help us determine the direction our plans needed to go to ensure we could continue growing our market share. It’s hard to compete against national carriers but HealthWorksAI makes it possible!”
- Medicare Strategy Leader
“You are committed to delivering innovation, great service, and advanced capabilities which help drive our business forward. It’s recognized and appreciated.”
– Medicare Marketing Manager
“I used the platform extensively during bid crunch time. It made a big difference in seeing how other plans configured certain benefits and provides direction on why they’re likely taking those steps.”
- VP Product Development
“The HealthWorksAI platform have revolutionized my role. The ability to access advanced analytic for Product Design, and understand the nuances of each region, has increased my ability to deliver on leadership requests with speed. Without this tool we wouldn’t have seen as much progress over the past 12 months.”
- Sr. Analyst, MA Product
“Instead of spending my time mining data, the solution provides everything I need in a single location. This allows me to spend more of my time on the priority tasks”
- Senior Product Manager
“To be honest, in my 12 years with this organization I can honestly say this is the best investment we’ve ever made. Incorporating data science into benefit design has been revolutionary. Instead of relying on the market to tell us what they want, HealthWorksAI allows us to analyze and predict consumer actions with ease.”
- VP, Government Products
“HealthWorksAI has provided us with nothing but outstanding analyses of Medicare enrollment trends and causality. The team has always been willing to go above and beyond to get us the data that we need!”
- Manager, MA Product Development

Request your free, no-obligation demo

Our Medicare Advantage Market experts would love to show you how HealthWorksAI products can optimise your MA strategy. For more information, request a 30-mins demo.

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Leadership

With a Unified Vision

The backbone of every organization are the leaders who guide them. We are a collective of leaders, innovators, advisors, and analytical experts working unitedly for the benefit of our clients. We believe in remaining inquisitive, learning something new every day, to continue solving the complex challenges of our clients and the industry as a whole.

data analytics in medicare

Arvind Nagpal

Product Strategy

Peter Rodes

Business Strategy

Jim Politte

Growth Strategy

Sujitesh

Sujitesh Das

Advisor for Operations & Enablement

Puneet Budhiraja

Advisor of Actuarial Science

Ryan Conran

Advisor of Product Strategy

Zach Kosky

Advisor

Matt Feret

Advisor

Our Presence

We’re proud to empower organizations across the US. From multi-state insurers to regional plans, HealthWorksAI’s platform and services are configured to meet the unique challenges of each client. This map demonstrates the volume of satisfied clients who have leveraged HealthWorksAI to enhance their strategic decision making.

Ranked in the Top 10%

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Request A Personalized Demo
Let us show you how HealthWorksAI can optimize your Medicare Advantage product design efforts at every stage through actionable insights by leveraging public and private healthcare data.