Predictive Modeling

QMetrics’ experience transcends the full spectrum of predictive model sophistication. We have developed simple algorithmic models, traditional econometric models, and advanced Machine Learning and AI Models in the managed care setting. Our staff have been creating predictive models in Managed Care for more than 25 years with model goals ranging from risk score improvement, Dual enrollment, LIS enrollment, appointment satisfaction, member loyalty, likelihood to disenroll, and other areas.

One of the more successful models our Chief Health Economist created was 93% accurate in assisting Medicare Advantage plans with the identification of potential Dual members and was used to assist more than 300,000 Medicare Advantage members with Dual enrollment.

Our approach is predicated on understanding that predictive modeling is NOT a one-size-fits all endeavor. We tailor our models to the situation at hand.

We can address your predictive modeling needs with any level of assistance needed. Our predictive modeling services include but are not limited to:

  • Creating new predictive models for your organization,
  • Refining and enhancing existing models,
  • Supplementing and assisting your own modeling team and their activities; and
  • Overseeing and guiding the modeling activities of your vendors.

Contact us at: for a complimentary consultation.

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