Book demo
Members

Identify, project, and mitigate your greatest liabilities

Whether you’re underwriting health plan premiums, assessing potential member groups, or determining stop-loss levels, you need clarity that’s to find in today’s claims landscape. For that, there’s the AMS PREDICT platform: the premiere risk management solutions for health, stop-loss, and reinsurance underwriters.

Harness the power of PREDICT to proactively pinpoint the biggest cost-drivers in your market.
Get reference-based guidance for your risk models, premium designs, and plan recommendations.
Get financial and clinical insights to guide your risk mitigation strategies.

The AMS PREDICT Suite: Three powerhouse risk management tools

Together, they provide comprehensive, continually updated data on the biggest cost-drivers in today’s healthcare system – the data you need to make smart, risk-savvy decisions for your plans, premiums, and business.

Catastrophic diagnoses

Detailed clinical and financial data for diagnoses with the most cost-intensive standards of care.
Learn more

Specialty drugs

The ultimate resource for comprehensive data on the market’s most costly therapies.
Learn more

Implants & devices

The only industry’s only fully transparent pricing directory for these high-cost categories.
Learn more

Draw on unrivaled data sources

processed charges
190 B
unique insurance networks
250
allowed over 515M claim lines
$ 90 B
states’ allowed and billed claims data
40
CPT codes
44300
ICD 10 Codes
13750
Easily access standards of care for high-cost diagnoses, treatments and therapies, investigatory issues, common complications, and physician comments. More about AMS
Clinical insightsPREDICTDX
A tablet device showing an example of clinical insights from AMS’s PredictDx risk management solution
Predict potential liabilities by reviewing both national and state-level claims data and both billed and allowed ranges for high-cost therapies. More about AMS
Financial insightsPREDICTDX
A tablet device showing an example of financial insights from AMS’s PredictDx risk management solution

Look closer at the costliest prescriptions

specialty drugs analyzed
0 +
FDA-approved, off-label & horizon indications
+
distinct price benchmarks
Access adult and pediatric dosing regimens, lines of therapy, and physician commentary for a wide range of specialty drugs – including FDA-approved labels, off-label uses, and horizon indications.
Clinical insightsPREDICTRX
A tablet device showing an example of clinical insights from AMS’s PredictRx risk management solution
Quickly review key financial benchmarks for specialty drugs, including average PBM cost, average provider cost, and projected annual cost.
Financial insightsPREDICTRX
A tablet device showing an example of financial insights from AMS’s PredictRx risk management solution

Harness comprehensive device & implant data

implant categories
2900
unique implants
M
actual price points
M
reporting facilities
3000
reporting vendors
4700 +
purchased implant amounts
$ 15 B
For each implant and device, PredictIx provides valuable clinical context on the product’s usage, common complications, and therapeutic considerations.
Clinical insightsPREDICTIX
A tablet device showing an example of clinical insights from AMS’s PredictIx risk management solution
Assess your potential liabilities by reviewing actual implant cost information by vendor, catalog number, or category. PredictIx provides low, high, and average costs at both the national and state level.
Financial insightsPREDICTIX
A tablet device showing an example of financial insights from AMS’s PredictIx risk management solution
Get detailed, comprehensive cost analytics for the most common implant-related procedures, including both cumulative cost and line item detail.
Bundled pricing modulePREDICTIX
A tablet device showing an example of bundle pricing insights from AMS’s PredictIx risk management solution
OF STOP-LOSS & REINSURANCE PREMIUMS AUTOMATED BY AMS
> 0 %

Industry experts trust AMS

Every year, they use our technology to automate 9 out of 10 stop-loss and reinsurance premiums written in the US.

More AMS risk management solutions

A healthcare executive using his desktop computer to run the Profiler risk management solution from AMS

Profiler: Unrivaled predictive analytics

Strengthen mitigation strategies by identifying current and potential high-cost members, analyze their diagnoses, and projecting their specialty drug use.
  • 2,500+ drug use cases to benchmark future spend
  • 8 pages of detailed reporting per high-cost member
  • 0 integrations required
Request demo
A group of insurance professionals using a tablet to run the CensusRater risk management solution from AMS

CensusRater: Small group underwriting

Help small groups transition from fully-insured to self-insured with a solution that closes the claims data gap between brokers and carriers.
  • 35MM members
  • 37MM claim lines
  • $3T billed amounts
Request demo

Revolutionize risk management with AMS solutions.

Identify, assess, and mitigate more effectively than ever with AMS PREDICT technologies from the market leader in risk management.

Book demo
An insurance professional using his tablet to view risk management insights from an AMS solution

PREDICT Platform

Advanced Medical Strategies
50 Salem Street Building A, Suite 106 Lynnfield, MA 01940 USA

© 2024, Advanced Medical Strategies. All rights reserved.