Transform Financial Performance with Actuarial Intelligence

Build predictable revenue models.
Maximize financial performance.

All with Actuarial Intelligence.

Improve patient outcomes.Grow market share.Save providers time.

All in one AI-enabled cloud.

Improve patient outcomes.
Grow market share.
Save providers time.

All in one AI-enabled cloud.

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For Providers

Project financial performance, profitability, and risk with value-based care arrangements, provider networks, and market strategy.

For Life Sciences

Leverage sophisticated analytics for market access, HEOR studies, and strategic decision-making powered by comprehensive claims data.

For Payers

Utilize Humbi's tools to build strategies for value-based contracting, population management, formulary and benefits management, and more.

Access National Medicare Insights
Access to Medical and Pharmacy data for

60M+ million members at the health plan 

and provider levels
Competitive Intelligence
All health plan database
Financial Analytics
62+M database

(MAPD & FFS Data)
Consumer Analytics
Census track / Bureau data
Provider 
Analytics
Value based arrangements
Pharmacy 
Insight
All part D and formulary
OUR CUSTOMERS

Delivering strong financial outcomes.

Frequently Asked Questions

What makes Humbi AI unique?

Humbi AI stands out by combining unique access to national Medicare and Medicaid datasets with cost-effective actuarial services. Unlike competitors who offer either standalone HEOR dashboards or pure actuarial services, we provide an integrated solution that's substantially more cost-effective than traditional firms like Milliman and Wakely.

What data sources does Humbi AI have access to?

We have comprehensive access to Medicare data (Parts A, B, C, and D) from 2011-2024, T-MSIS Medicaid data for all 50 states, commercial claims data (2015-2024), and a detailed provider database. This data is available at the claim line and beneficiary level, covering over 60 million lives.

What types of financial modeling services do you offer?

Our actuarial experts build sophisticated financial models for projecting performance, profitability, and risk in value-based care arrangements. This includes MLR projections, premium revenue forecasting, utilization trends, and custom analytics tailored to your specific needs.

Who are your typical customers?

We serve three core markets: providers managing value-based care programs (like Rise Health's ACO REACH program), regional health plans (such as CareFirst BCBS), and life sciences companies requiring specialized analytics and HEOR studies.

What specialized analytics do you provide?

We offer episode-based cost and utilization benchmarks, provider performance management analytics, patient acuity models, and custom analytics tailored to specific business challenges such as risk stratification and pharmacy trend analysis.

How do you support regulatory compliance?

Our actuarial experts have deep knowledge of healthcare regulations, quality metrics, and reporting requirements, including HEDIS and CMS Star Ratings. We ensure all analytics, models, and strategies comply with industry standards and requirements.

What consulting services do you provide?

Beyond analytics, our actuarial team provides strategic consulting and decision support for network design, value-based contracts, and benefit plan changes. We help interpret insights and guide data-driven decision-making.

How do you support life sciences organizations?

We provide specialized analytics for pharmaceutical and biotech companies, including health economics and outcomes research (HEOR), market access analytics, and strategic insights derived from our comprehensive Medicare and Medicaid datasets.

How customizable are your solutions?

We build customized actuarial models and algorithms to address your unique business challenges. Our highly configurable financial modeling capabilities can be tailored to specific value-based care arrangements, provider networks, and market strategies.

What benchmarking capabilities do you offer?

We provide robust benchmarking using our comprehensive data assets, allowing organizations to compare performance across various metrics, including cost, utilization, quality, and outcomes at regional and national levels.

Best-in-KLAS, over and over again

Since 2021, Innovaccer has been the only vendor to win 4 Best-in-KLAS awards for Data & Analytics Platform, Population Health Management, and CRM categories.

Product score
100 point scale
Innovaccer
93.2
Epic
89.8
Salesforce
81.3
Read the KLAS report
integrations

Unlocking your EHR’s full potential

We integrate seamlessly with your EHR(s) to create a system-wide strategy. That's why the largest customers of Epic, Oracle Cerner, and MEDITECH choose Innovaccer.

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All powered by the
Data Activation Platform

Integrate
Raw data is received from source systems & stored in a data lake.
3X
more accurate than off-the-shelf AI
Harmonize
Data is parsed & codified, then stored in a simple data structure.
3X
more accurate than off-the-shelf AI
Unify
Patient & provider information are aggregated into a single record.
3X
more accurate than off-the-shelf AI
Process
Intelligent algorithms enrich the data with quality measures, gaps in care, & more.
3X
more accurate than off-the-shelf AI
Analyze
Data is denormalized into a structure optimized for analytics, insights, & workflows.
3X
more accurate than off-the-shelf AI
Integrate

Raw data is received from source systems and stored in the lake before any processing and
interpretation. Your original data is always available to diagnose any issues and enable reprocessing as issues are resolved.

2800
data elements supported
Unify

Patient and provider information are aggregated into a single record containing multiple sources of information through Master Data Management functionality, including an Enterprise Master Patient Index, and data curation to remove redundancies. The data at this level is leveraged for application functionality and downstream processing.

54M
patient records unified
Harmonize

The raw data is parsed and codified, then stored in a simple and clean data structure without complex relational features. The data at this level is typed and coded to the UDM’s ontology and ready to be processed into the downstream structures, which are leveraged for applications and analytics.

6000
data quality rules applied
Process

Intelligent algorithms enrich the data the previous stage with deep insights. Out of the box, this includes each patient’s disposition toward quality measures (numerator, denominator, exclusions), risk and social vulnerability profiles, gaps in care, engagement data, next best actions, and more.

10%
improvement in quality gap closure
Analyze

Analytics summarize and denormalize the data from Unify and Process stages into a multidimensional data cube structure optimized for analytics, AI, workflows, and additional data visualization use-cases.

22%
reduction in readmission rates
CASE STUDY
Learn more

Transform Financial
Performance with Actuarial Intelligence Today