Predictive Insights
That Optimize Coverage
and Control Costs.
Case Study
30K
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+27%
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15M
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890
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The Challenge
Rising medical costs driven by late-stage intervention, preventable hospitalizations, and unmanaged behavioral risk are placing increasing strain on payer margins. Traditional models often fail to identify high-risk members early enough to enable proactive, cost-effective care. As a result, insurers face unpredictable spend, inefficient resource allocation, and growing pressure to align with value-based care mandates.
The ethos Solution
Ethos leverages predictive analytics to identify members at risk for relapse, liver disease progression, and costly medical events b, fore they escalate. Our AI models empower payers to:
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Stratify risk across covered populations.
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Enable earlier, targeted care interventions.
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Reduce high-cost episodes and prevent avoidable hospitalizations.
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Support more personalized plan design and value-based contract alignment.
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Optimize medical loss ratio (MLR) and improve actuarial predictability.
Who We Help
Actuarial & Risk Stratification Teams
Surface emerging risk earlier to strengthen predictive models, improve actuarial accuracy, and better forecast plan performance.
Plan Leadership & Network Strategists
Align predictive insights with plan design, network performance, and value-based contracts to improve outcomes and control costs.
Payer Analytics
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Potential
Savings
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2030
75k
2031
90k
2029
25k
Explore Pilot Program
Opportunities
We’re partnering with health plans and insurance providers to launch targeted pilot programs that demonstrate measurable financial impact, earlier risk detection, and improved care management for high-risk populations.
Interested in exploring how ethos can help reduce avoidable costs and support smarter plan design? Contact us to discuss a pilot opportunity.
Provide your contact information and a member of our team will reach out to discuss how ethos can support your organization’s care management, risk stratification, and cost containment goals.
We’ll collaborate with you to impliment a solution that aligned with your plan structure, population risk profile, and financial performance targets.
Powering earlier risk detection, smarter plan design, and stronger financial performance.
