Decide who, when, how
The next best action, re-scored on every new signal
A transparent 0–100 score built from eligibility, engagement, social risk and urgency signals that routes each member to the right channel at the right hour.
- Enrollment channel and timing selection
- Retention and churn-risk intervention
- Care management caseload prioritisation
- Stars measure gap targeting
Measured impact
What Propensity & Recommendation changes.
- 3.4×
- Conversion lift
- 0–100
- Explainable score
- Live
- Re-scoring
Propensity & Recommendation
How it works
- 01ScoreEvery member carries an explainable score with the contributing factors listed.
- 02RouteHOT to phone, WARM to SMS, COOL to email, COLD to nurture — thresholds you control.
- 03LearnOutcomes feed back so the model gets sharper without losing its audit trail.
- Conversion lift
- 3.4×
- Explainable score
- 0–100
- Re-scoring
- Live
Where payers use it
Same technology, many workflows.
Enrollment channel and timing selection
Retention and churn-risk intervention
Care management caseload prioritisation
Stars measure gap targeting
Campaign budget allocation
Packaged as
Solutions built on this technology.
Live in productionDualEnroll.aiDual-eligible, LIS/Extra Help, SNAP and D-SNP enrollment run end to end — screened, scored, submitted, recertified.
New platformPayerHealth CLMNetwork, vendor and delegated contracts authored, negotiated, executed and enforced — with rate terms machine-readable on day one.
Multi-stateManaged MedicaidA state-compliant outreach and operations engine for MCOs: campaigns, field mapping, template approvals and auto-touch cadences.
Whole-personSDoH IntelligenceFood, housing, transport and utility risk detected from the signals you already hold, then routed to a resource that actually exists.Bring us a workflow. We will show you the audit trail.
Ninety minutes with your operations and compliance leads. You leave with a mapped workflow, a measured baseline and a deployment path.