When you empower your health plan, everyone benefits

With the most advanced AI, you get a deeper learning and a deeper understanding of health matters leading to better choices and lower costs. Brokers, employers and members all get ahead with predictions to prevent illness, solutions that radically reduce health plan costs and a SMART system that makes it all easy.

Explore the SMART Health Plan Services System

Get ahead of future costs. Target high risk members with early intervention and proactive support. Identify and eliminate costs excesses and inefficiencies. Many reasons it pays to Marpai.

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future sight advantage diagram
future sight advantage diagram

Marpai Health Plan Services Stack
What Sets Us Apart

#1 in AI Predictive Analytics

Only Marpai uses Deep Learning to analyze claims and other data to predict illness, prevent suffering and protect lives. We detect near-term health issues and guide members to take the right actions with the most qualified providers to avert and reduce chronic illness and costly procedures.

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Patented Algorithms

Only Marpai is developing over 50 algorithms to predict costly health events so members can prevent and reduce illness and everyone can avoid big medical bills. Today, Marpai’s algorithms predict cardiovascular disease, Type 2 Diabetes, COPD, VTE, kidney disease, high-cost imaging and knee arthroscopy.

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Human Touch

We believe good healthcare is all about people. Our technology informs our caring, empathetic frontline experts so they best guide members to the right actions at the right time with the right resources.

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Best National Provider Networks

Marpai is one of a few companies that is able to provide access to Aetna’s world class provider network of over 1,300,000 physicians and 5,700 hospitals nationwide. Marpai also provides access to other top networks including Cigna, Everpointe Elite, PHCS and Medcost.

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Top Health Partners

Marpai works with leading edge health solutions to give members options that make a difference including alternatives to surgery and invasive procedures.

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Cost Containment Including Specialty RBP

Marpai goes beyond rigorous medical bill review and negotiations to reduce costs. Explore Specialty RBP solutions (dual option, hybrid, full replacement, out-of-network) and bundles. RBP delivers an average savings of $2500 PEPY.

Predict, Prevent, Protect

AI-powered predictive algorithms enable members to prevent, reduce and best manage near-term chronic illness and major procedures.

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Personalized, Proactive Member Engagement

Our AI takes care of members. Knows each member, anticipates needs, delivers personalized nudges and reminders so members stay on track with their health.

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Top Pharmacy Solutions

AI powered pharmacy benefit administration that reduces costs and drives better outcomes.

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Deep Analytics and Insights

AI-powered analyses of comprehensive data uncover new insights for great costs savings, plan design and utilization and member engagement.

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Custom Plan Design

AI generated insights drive custom plan design that meets the needs of the plan population.

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A+ Telehealth

Driving members to on screen telehealth for greater convenience and on demand assistance.

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Cost Predictions with Transparency

AI-powered future cost predictions with full transparency that reduce Stop Loss premiums and risk.

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Legal and Compliance

Deep understanding of how new policy requirements affect self-funded plans and clear action plans to enable compliance.

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Process Automation

AI-powered automation of key processes including claims adjudication to eliminate costly inefficiencies and errors, cost excesses and missed opportunities.

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Population Health

Leading tools, partners and expertise to identify, control and manage the health risks of plan members. Predictive risk scoring, clinical insights, innovative programs, data-driven member engagement.

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A+ Stop Loss Solutions

How About a 20% Reduction in Stop Loss Premiums?

Marpai provides competitive quotes on Stop Loss solutions with A+ carriers including customized and Specialty RBP quotes. Using AI, Marpai is developing captive solutions and ways to better manage large claim risk and improve loss ratio performance.

Get a Quote

See What Marpai Can Do For You

There’s no better way to understand Marpai than to see how we do it. We are excited to show how our AI uses big data to make a big impact for self-employed plans.

Let’s go!