Artificial intelligence =
actionable insights

Artificial intelligence =
actionable insights

Group Health Solutions

Group Health Solutions for PEOs

Enhance precision in new and renewal business quoting

 

Boost speed and efficiency  


Re-evaluate risk member groups at renewal with greater precision



Support automation of your quoting process

Decrease quote turnaround time


Make more informed decisions, faster


Group health underwriting is a fiercely competitive business where speed, accuracy, and pricing drive success. The ability to discern risk at a nuanced level makes all the difference.


What if you could identify good risks that others miss, and price them to win, while avoiding bad risks or pricing them so you can maintain a healthy loss ratio? Imagine if you could do this while also dramatically reducing quote turnaround times.


Now you can with the power of Gradient AI’s SAIL™ Solution for New Business and Renewal Analytics for Renewing Business.


Speak with us about Group Health Solutions

Gradient AI’s Vice President of Group Health, Chase Pettus discusses three core needs Gradient AI can address for PEO’s.

Watch now →

Better Risk Assessment. Better Underwriting.

SAIL™ for New Business


Improve your risk assessment capacities through a combination of machine learning, and our vast SAIL™ dataset, comprised of medical, prescription, and lab data, to obtain predictive insights to identify risk with speed and accuracy never before possible.


Our SAIL™ dataset, combined with our modeling expertise, uniquely positions Gradient AI to help you price more accurately, better manage risk, and grow more profitably.


Enhance your underwriting capabilities by gaining a more complete in-depth picture of risk to compete more effectively and win more business while improving loss ratios. Gradient AI’s Group Health Underwriting Suite enables you to:


  • Price policies more accurately and aggressively
  • Capture more business with streamlined underwriting and faster quote turnaround times
  • Better manage risk and reduce loss ratios with deeper insights into group risk

Renewal Analytics Solution for Renewal Business

 

The Renewal Analytics Solution is tailored specifically for pooled risk groups, such as PEOs, Associations, Trusts, and MEWAs and allows you to better manage your overall health plan, analyzing and managing risk to incumbent groups individually and as a block.


There are three key components:


  • Renewal Predictive Al Model provides risk predictions valuable for renewal underwriting or repricing a block of business, early identification of developing trends, and the implementation of risk management and cost containment strategies. The Renewal model utilizes your own historical medical and pharmacy claims data to develop a risk expectation for the upcoming 12 months.

  • Analytics and Reporting Dashboards provide summary and detailed views of group claims, enrollment trends, and performance metrics across factors such as industry, geography, group size, and demographics. Quickly discern underlying cost drivers for groups, members, and high-cost claimants, along with other predictive insights.

  • Rebanding Calculator provides recommendations for group-assigned risk bands, based on client- specific inputs, model predictions, and customer-defined scenarios and business rules at the time of renewal.


Quote

“The SAIL Solution recognizes different risk factors, providing guidance on adopting a more assertive pricing approach during low-risk scenarios and when to reconsider or adjust pricing to accommodate higher risks. This aids in gaining a deeper understanding of the marketplace dynamics and the businesses we engage with, ultimately enhancing our decision-making process."

 

– Andrew Lubash, PrestigePEO founder and CEO


"Innovation has been a key ingredient in fueling our growth. As an early adopter of SAIL, we leveraged its high-quality medical industry data lake and advanced AI predictive analytics to evaluate group health risk at a deeper level. This has allowed us to quickly turn around highly accurate quotes with the confidence that we have a comprehensive understanding of a group’s risk. We were seeking a solution that could deliver competitive, accurate, and predictably stable pricing, and we certainly found it with Gradient AI.” 


– Laura Platero, Vice President of Growth Acceleration, Questco