The Problem: 30 Million Newly Insured 

Payers, ACOs and other risk-bearing organizations will soon be faced with an influx of new consumers, many of which will have pent-up demand for healthcare services. Understanding the risk profile of these new entrants as early as possible will be critical to the success of budgeting, underwriting and care management programs. Verisk Health provides statistically proven risk adjustment and predictive models specific to the commercial, Medicare and Medicaid populations that evaluate risk based on demographics, diagnoses, costs and utilization. The solution develops accurate risk profiles and associated cost predictions, illness burdens, intervention opportunities and measures of efficient care delivery. Source: CBO