📢 2023 AEP Trends : See the Latest Changes 📊 in Plan Type, Cost Structures, and Benefits.

Read our Findings Report

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

What We Deliver?

Beneficiary
Preference

Understand consumer benefit preferences by market; including which benefits are table stakes and which benefits are significant or insignificant.
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Benefit
Simulator

Simulate multiple benefit design scenarios and their impact on downstream metrics.
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Service Area
Expansion

Expand into new counties & territories.  Identify new markets offering the highest potential for your organization, considering product design, network, demographics, and more.  

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Disruption
Report

Quickly & easily identify potentially impactful plan design changes in each market immediately after CMS data release to spot aggressive moves by competitors.
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Financial
Performance

Track financial performance (MLR/MMR) to determine areas of opportunity.
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Member
Attributes

Leverage Supplemental Benefits for Chronically ill (SSBCI) members with chronic conditions and special needs.
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Increase your market share with the most comprehensive MA market insights.

ProductIntel powers Medicare Product Development teams with data intelligence to generate winning Medicare Advantage products and market strategies that saves time, reduce risks, and improves efficiency...

See it in action!

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What's in it for you?

Managing benefit design has always been a complex balancing act. With CMS providing additional flexibility with Supplemental and Enhanced benefits in addition to SSBCI, the stakes have gone up significantly. Designed as a single source of truth for supporting data and analytics, ProductIntel provides Product Managers and Actuaries end-to-end strategic support for the entire product lifecycle. ProductIntel empowers a measure and manage philosophy by incorporating best practices of Data governance, product portfolio design, performance management, and continuous improvement. 

Service Area Expansion

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  • This report enables a multi-level analysis of potential expansion counties and provides a product-market fit of your current plans in those hypothetical markets. The data used to assess fitment, including population demographics, MA enrollment growth projections, benchmark rates, plan design attributes, network composition, and more, is accessible at the county level for your last-mile analysis.
  • Our Service Area Expansion report is an ideal starting point for MA Payors looking to expand into new counties & territories. With it, you'll be easily able to map out unexplored areas.
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🔎 click on the image to enlarge it

Disruption Report

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  • The AEP Disruption Report, released in late September, allows users to quickly & easily identify potentially impactful plan design changes in each market immediately after CMS data release to spot aggressive moves by competitors.
  • The 360° view of your service area also identifies where you’ve gained a plan attribute advantage over your competitors. For example, you’ll quickly determine where a leading plan may have increased its deductible or MOOP, opening the door to compete for its membership.

Beneficiary Preference

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  • Align your plan designs to attract the type of members you want and deliver higher ROI to those members and your organization.
  • Identify which benefits are less price sensitive and can carry higher cost-share without negatively impacting enrollment potential.
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🔎 click on the image to enlarge it

Benefit Simulator

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  • Design your plans with analytical support by leveraging one of our simulators that calculate the impact of benefit design changes with various downstream metrics in real-time.
  • Decrease the cost-of-care and improve star rating potential with our Benefit Recommendation Engine by aligning to the needs of your members or target market.

Get a better understanding of your plans and the competition.

Healthcare data is constantly shifting, and outdated research methods can impact your plan design.
With ProductIntel’s AI-powered platform, you get the latest intelligence on MA market conditions.

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Analyze and Improve
Financial Performance

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  • Dive deep into Medical Loss Ratio (MLR) and Monthly Membership Report (MMR) data to identify financial leakage and benchmark market financial performance.
  • Efficiently access benefit utilization reports for an ongoing analysis of design vs health outcomes.
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🔎 click on the image to enlarge it

Member Attributes

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  • Analyze the chronic condition prevalence in your membership and the market to determine supplemental and enhanced benefit inclusions alongside appropriate Care Management Programs.
  • Reduce the financial risk of SSBCI benefit costs by understanding the likely health and financial outcomes as a result of including specific coverages.

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Medicare Advantage market

As a HealthWorksAI Insight subscriber, you will be among the first to receive a sneak peek at our latest market findings. You will get valuable insights into new trends and data that shape your understanding of this ever-changing Medicare Advantage market.

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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.