Carrot MarketView™ for Healthcare Payers

Use Social Determinants of Health (SDoH) and validated analytical models to improve growth and population health outcomes for your health plan.

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Managing more than 3.2 million covered lives

Validated with 100 million+ real-world claims and clinical encounter records on
6 million+ individuals over 6+ years

MarketView Essentials

Market Intelligence

Medicare

Complete plan information for all US plans including:

  • Market Share and Enrollment Summary
  • Plan Details Including Benefits and Service Area
  • Star Measures: Plan and Measure Performance History
  • Market Enrollment Map
  • Market Forecast
  • Age-ins Forecast

 

Medicaid

 

Individual

Member Intelligence

Member Insights

  • Membership Summary Reporting
  • Part D, Group and other Membership
  • Termination Insights by Broker and Risk Segment
  • Medical + Part D & Medical Only
  • Dental Membership
  • Termination Reason Detail

Sales Channel Insights

  • Broker Performance Scorecard

Clinical Insights

  • Clinical Summary Reporting
  • Claims Map by County
  • Claims Summary Reporting

MarketView Growth

CONSUMER SEGMENTATION

Understand the unique behaviors, health needs, insurance preferences, and clinical risk profiles of members and prospects. Hyper-local, custom-built consumer segmentation based on individual data.

MARKETING EFFICIENCY

Target exactly the right consumers by segment, geography, and plan type. Proven 6.7x response lift from highest to lowest decile segments.

FORECASTING

Predict growth opportunities and emerging risks by geography and service area. Forecasting for age-ins, competitors, and future consumer behavior.

MarketView Population Health

  • STAR RATINGS

    Track and forecast progress on Part C & D measures. Prioritize tactics and interventions, and target the right interventions to the right individuals.

  • CARE MANAGEMENT

    Identify future high-cost members, prioritize interventions, and intervene with the right individuals to reduce total cost of care.

  • RISK ADJUSTMENT

    Forecast future risk at the individual and population level – even for members with no claims history. Intervene before costly events occur.

Who Requires Care Management?

With Claims & Clinical Data Alone

Hover over each to reveal their claims and clinical data

  • healthcare payer analytics

    JIM

    • 58 years old
    • Male
    • High blood glucose
    • Pre-diabetic
    • High blood pressure
    • Poor eating habits
    • Overweight
  • hospital analytics

    MATT

    • 58 years old
    • Male
    • High blood glucose
    • Pre-diabetic
    • High blood pressure
    • Poor eating habits
    • Overweight

With Additional Carrot MarketView SDoH Data

Environmental, behavioral, economic and demographic characteristics drive 80-90% of an individual’s current and future health status. To understand and predict health risks, population health professionals need to understand the social and behavioral factors that determine health. 

JIM

- Male, Age 58
- Married, 3 Adult Children
- Education: BA
- Household Income: $100k
- Household Net Worth: $500k
- Fitness Level: Medium
- Frequent Traveler, Domestic & Int'l
- Regular Voter - Leans Democratic
- Tech Savvy & Online Shopper
- Preferred Channel: email or web
- Negative Channel: landline phone
- Pet Owner, Dog

Likely2 Scores:

- High Patient Engagement
- High Diabetic Index
- Weak Primary Care Bond

Annual Health Spend < $2k

MATT

- Male, Age 58
- Divorced, 1 Adult Child
- Education: BA
- Household Income: $100k
- Household Net Worth: $500k
- Fitness Level: Low
- Sporadic Voter
- Catalog Shopper
- Preferred Channel: direct mail
- Negative Channel: web, social
- No pets

Likely2 Scores:

- Low Patient Engagement
- High Diabetic Index
- Weak Primary Care Bond

Annual Health Spend > $18k