NEW SOLUTION

PredictPx: Achieve unprecedented price transparency

Our latest PREDICT tool triangulates hospital price transparency data, health plan transparency in coverage data, and medicare pricing to bring unrivaled clarity to your payment integrity workflows.
NEW SOLUTION
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OUR SOLUTIONS

Optimizing healthcare costs & quality with cutting-edge automation

Payment Integrity

Explore cutting-edge solutions that empower your team to automate payment integrity processes, avoid or recover overpayments, and reduce outsourcing costs.

Risk Management

Enhance critical coverage decisions with analytical tools that support >90% of all stop-loss and reinsurance premiums written annually.

Business Intelligence

Strengthen your contracts and policies with powerful predictive analytics, advanced reporting tools, and consultative support.
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Total billed charges analyzed
$6,421,226,350,099
MEET AMS

Bringing clarity to healthcare costs for over 20 years

Since Day 1, we’ve made it our mission to make healthcare more affordable, efficient, and effective for everyone. Ever since, our clinical experts, technologists, data scientists have been united and inspired by that one pursuit.
PREDICT PLATFORM

Revolutionizing payment integrity & risk management

Our industry-leading solutions are built on one of the most versatile and comprehensive analytic platforms ever built for healthcare. PREDICT delivers all the data and insights our expert customers need to pinpoint excessive claims, avoid or recover overpayments, and manage risks associated with high-cost claimants.
PREDICT PLATFORM
Digital overlays appearing in front of a laptop being used to run a tool from Advanced Medical Strategies
Strategic insights
Strategic insights
Surface them in seconds with the industry’s leading claims analytics.
Surface them in seconds with the industry’s leading claims analytics.
Flexible subscriptions
Flexible subscriptions
Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform.
Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform.
Minimal integration
Minimal integration
Our solutions can be rapidly installed and easily accessed with no customer IT lift.
Our solutions can be rapidly installed and easily accessed with no customer IT lift.
Robust security
Robust security
The safety of your data is our top priority. HITRUST certification is just the start.
The safety of your data is our top priority. HITRUST certification is just the start.
Strategic insights
Strategic insights
Surface them in seconds with the industry’s leading claims analytics.
Surface them in seconds with the industry’s leading claims analytics.
Flexible subscriptions
Flexible subscriptions
Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform.
Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform.
Minimal integration
Minimal integration
Our solutions can be rapidly installed and easily accessed with no customer IT lift.
Our solutions can be rapidly installed and easily accessed with no customer IT lift.
Robust security
Robust security
The safety of your data is our top priority. HITRUST certification is just the start.
The safety of your data is our top priority. HITRUST certification is just the start.

Proven, validated data security

To further mitigate third-party privacy, security, and compliance risks, we maintain HITRUST CSF Certification for all the solutions we provide.
OUR IMPACT

How AMS solutions have earned our clients’ trust

PredictPi

Frame 208

“Within the first 3 months of using PredictPi, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.”

Large National TPA

Predict

Frame 437

“Cancer treatment is unique to each patient. I appreciate that AMS provides a typical treatment course. It has been a life saver for me, especially when deciphering what the course of treatment may look like for cancer patients. I have a reliable resource that saves me research time every day.”

Medical Underwriter Nurse, Stop Loss Carrier

Predict

Frame 437 (1)

“We often receive RFPs with cases only containing drug names and other basic information. By utilizing Predict Rx, we’re able to view several different benchmarks for dosed costs and come up with the actual price of the given drug.”

Underwriter, Direct Stop-Loss Carrier

CensusRater

Frame 208 (1)

“When we receive a fully insured conversion group without claims experience, CensusRater is the only tool we trust to determine whether or not to quote, set the appropriate spec deductible, and assign a competitive rate.”

VP Underwriting, Large National MGU

Profiler

Frame 208 (2)

“With the proliferation of specialty drugs, there is great value in adding Profiler data to our monthly review. It really augments our existing tools in identifying claimants and their potential costs.”

Assistant Vice President, National TPA

Profiler

Frame 208 (2)

“Profiler helped us determine lasers for the upcoming renewal accounts. It has saved us several hundred thousand dollars in lasers that we would likely not have recognized without the system. We appreciate the constant upgrades.”

SVP, Top Reinsurance Carrier
OUR IMPACT

How AMS solutions have earned our clients’ trust

Ready to join the AMS revolution?

To further mitigate third-party privacy, security, and compliance risks, we maintain HITRUST CSF Certification for all the solutions we provide.

A healthcare professional studying outputs from an Advanced Medical Strategies solution on his laptop
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