Dynamic Risk Stratification: Incorporating SDoH, Engagement, & Adherence Data to Predict Holistic and Rising Risk
In a value-based payment system, payers and at-risk providers utilize risk stratification tools to predict future care demand and cost. Yet, mainstream approaches rely primarily on claims data and medical/condition risk to assess health needs, neglecting other critical data sources....
MarketView Growth Case Studies: 2020 AEP Success
With the predictive models and insights from MarketView, Carrot Health customers saw Medicare Advantage net enrollment outpace the overall market for 2020 Annual Enrollment Period. 90% of Carrot MarketView Medicare Advantage customers gained member enrollment, compared to just 65% of...
Health Tech to the Rescue: Combating COVID-19 with Virtual Care and Predictive Analytics
With stunning swiftness, COVID-19 knocked America’s healthcare delivery system to its knees. In response to this new reality, however, healthcare is reconfiguring itself in real time. Most providers are now using virtual care delivery platforms to connect with patients. Government...
Carrot Health Observations: 2021 CMS Announcements
CMS recently released its Early Preview and Advance Notices for changes expected to impact Medicare Advantage plans in 2021. Carrot Health recognizes the impact these changes have on our customers and their respective strategies. While not final, we know it...
2020 AEP Performance Report: Trends and Insights
2020 marked a watershed year for Medicare Advantage. In the drive for higher Annual Election Period (AEP) numbers, health plans competed in more markets with a greater array of plan types, cost structures and supplemental benefit offerings. Carrot Health’s 2020...
The New Rules of Competition: How Supplemental Benefits are Changing the Medicare Advantage Market
With the expansion of supplemental benefits for Medicare Advantage beneficiaries, CMS has given health plans new tools to improve health outcomes, particularly for members with chronic conditions, and more flexibility in plan design and marketing. To compete in this new,...
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