Predict Medical Expenses

What if you had a crystal ball? You might want to know who was more likely to use healthcare services in the future, or demonstrate how a new drug or treatment might positively affect healthcare spending.

QualityMetric's Medical Expense Predictor™ is the next best thing to a crystal ball. This powerful capability uses SF-36v2^® and SF-12v2^® Health Survey data to provide interested parties throughout the healthcare spectrum with reliable predictions about healthcare usage and spending.

Health insurers and government agencies can use the Medical Expense Predictor to:

• Predict the average monthly medical expenses of patients and populations
• Identify people at risk of incurring high medical costs
• Make informed decisions about resource utilization, pricing, case management, patient education, and preventive care services

Key Note: In direct contrast to other predictive modeling tools, our Medical Expense Predictor capability does not require claims data, which is difficult to acquire and sometimes not available until it's too late – 6 to 12 months after the costs are incurred.

Pharmaceutical, biotechnology, and medical device companies use this information to link a treatment's benefits to a lower risk of healthcare expenses and to position products for inclusion in formularies.

Whatever your goal, our Outcomes Insight Consultants can help you achieve it through survey customization, data scoring and analysis, and presentation of results.