Machine

Learning

15 minutes. That’s how long a doctor spends with a patient to assess, diagnose and deliver a plan of care. The use of machine learning can make those 15 minutes more efficient and valuable. Incorporating rich data sets, customized algorithms, and data science expertise, Tensile AI's machine learning solutions for healthcare are built by integrating all available data - EMR, claims, genomic information, risk assessments, images, IoT and social/behavioral. While our competition uses measures that are often based on generalized populations that can have very different characteristics than your own, Tensile AI generates models on your own data, with customized algorithms that enable you to better target members or patients in your populations for the appropriate types and levels of care.

Healthplan IQ

HealthPlan IQ deploys supervised and unsupervised learning models to health insurance companies, offering a managed suite of models specifically designed for health plans to target improvements in the areas of risk adjustment, HEDIS, member churn, and medical cost trends.

With HealthPlan IQ, Tensile AI is helping payers implement machine learning capabilities throughout their organization.

RADAR

Using RADAR, health plans can optimize revenue by identifying members who are most likely to have missed diagnoses and segment providers to reveal those who are most likely to inaccurately capture diagnoses that impact risk-adjusted revenue.

Trend Insights

Our Components of Trend solution enables Actuarial and Medical Economic teams to explore drivers of trend by analyzing the correlation among all potential variables that impact medical and pharmacy cost trends and utilization metrics.

Loss Reserving Automation

Tensile AI's Loss Reserving model automates the creation of lag cells, allowing for various methodologies to be applied. The user-friendly interface allows users to choose the fashion in which the data is being aggregated. Whether for development or projection, Actuarial analysts are freed up to spend the majority of their time analyzing the data and setting reserves.

Provider Predictive Suite

Tensile AI is helping health systems and provider practices implement machine learning capabilities throughout the organization. Provider Predictive Suite offers provider organizations a managed suite of prescriptive analytics specifically designed to prioritize clinical initiatives based on measures of cost effectiveness, patient outcomes, and overall satisfaction within the healthcare ecosystem.

Provider Predictive Suite deploys supervised and unsupervised learning models to provider organizations: 30-day Readmissions Risk (All-Cause & Condition-Specific), Expected LOS, Hospital Acquired Infections Risk, CAUTI & Sepsis, Detection, Risk of Fall, Expected Mortality, Surgical Site Infections (Hysterectomy, Colon Surgery), NICU Severity, Revenue Cycle Variances.