SquareML

Insurance

SquareML Payers

Predictive analytics for payer operations: cost, risk, quality, and member engagement on the same no-code engine.

Health-plan operations floor for claims and quality work

SquareML Payers

Join claims, clinical, and eligibility files. Rank the next intervention. Keep people in the loop on every measure that hits a CMS or STAR target.

Care management analytics

Optimize delivery, outcomes, and cost with ranked interventions, not a generic member list.

Readmissions prediction

Track 30- and 60-day readmissions by condition or procedure so quality teams can see which providers and cohorts are drifting.

Closing gaps in care

Join member data, find open gaps, and put outreach on the people who will actually move a measure.

Cluster analytics

Segment lines of business by need, high-cost pattern, and risk so programs are aimed.

Rising risk assessment

Risk-stratify on clinical, socio-economic, and utilization signals before the member is already high-cost.

Medication adherence

Adherence views for diabetes, hypertension, statin, and HIV that feed gap closure, quality ratings, and CMS bonus work.

ADT analytics

Admissions, discharges, and transfers for flow, coordination, and timely follow-up after an acute event.

High-risk segments

Surface chronic, high-utilization, and complex-care members so care management capacity is spent where it changes cost.

All solutions

Ready to put AI to work?

Book a discovery call. We will map the highest-value workflow and a path to production in weeks.

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