Explainable AI [xAI] for Medicare Advantage
What Do We Deliver?
Executive
Level
Vertical
Breakdown
Attribute Deep Dive & Simulation
How Does It Work?
Machine learning algorithms have been historically labeled “black box” models because of their inscrutable inner workings. However, what makes these traditional models accurate is also what makes their predictions difficult to understand: complexities in the data and variable impact by market. xAI assists data scientists by decoding and interpreting these results, hence bridging the gap between business application and mathematics.
In short, the xAI program is an advanced correlation analysis that collects and processes data, generating in-depth market analysis not uncovered by standard research or models. The result is actionable intelligence to enable business optimization.
Executive Level
Vertical Breakdown
Attribute Deep Dive & Simulation
The deepest level of granularity in the xAI analysis further defines the minor nuances and impact of the significant factors in each market. The attribute deep dive is unique to each payor, based on organizational focus and competitive opportunity in their present or expansion markets. This custom analysis measures the sub-factors influencing the significance of each attribute and allows for the simulation of predicted enrollment change after proposed changes to vertical attributes. Examples include:
- Determining the copay for a specific benefit based on price elasticity.
- Simulating enrollment change with the introduction of new supplemental benefits.
- Understanding the impact on network marketability with the addition of a new hospital system.
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