Merit Predict
is built for Managing General Underwriters
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Underwrite with Confidence
Manage Risk
Drive Profitability
In an increasingly specialized and competitive market, maintaining an edge is imperative. Merit Medicine’s AI-powered analytics deliver insights that identify future high-cost claimants at the member level, enabling you to competitively underwrite policies with greater confidence, efficiency, and profitability.
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Comprehensive Solutions for MGUs
Improve Underwriting Accuracy
Underwriting precision is essential to maintaining favorable loss ratios. Merit Predict gives you the insights to refine pricing strategies and minimize financial exposure.
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Predict Total First-Dollar Claims
Forecast total claims liability at the group level, enabling you to recommend competitive and profitable solutions tailored to your client’s population.
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Identify High-Risk Members
Predict high-cost claimants 12–18 months in advance, providing insights needed to anticipate and prepare for catastrophic claim events.
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Segment Risk Proactively
Stratify members by clinical and financial risk factors for targeted intervention and improved member outcomes.
Strengthen Stop-Loss Strategies
Stop-loss decisions are critical to managing financial stability. We enable you to create competitive solutions and increase attachment point precision.
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Analyze Funding Scenarios
Evaluate excess claims risk at various deductibles to determine optimal stop-loss attachment points.
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Secure Competitive Stop-Loss Rates
Leverage advanced prediction models to forecast next year’s catastrophic claimant spend at the member level, enabling competitive stop-loss utilization by avoiding over- or under-spending.
Increase RFP Conversion
A strong understanding of clinical risks across a population gives you the ability to respond quickly with competitive pricing while safeguarding your profit margins.
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Anticipate Group Level Spend
Confidently and quickly identify member costs from first-dollar claims to high-cost events, even with limited data.
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Maximize Competitive Pricing
Develop targeted premiums based on insights into next year’s claims spending while maintaining market leadership.
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"The ability of Merit Medicine’s tools to not only more accurately predict outcomes at the member level but also deliver those insights in a highly transparent manner is a game changer and long overdue. The improved impact on the ability to properly price risk will only be eclipsed by the care manager’s ability to bend the cost and quality curve at the patient level through early detection and intervention”
Mike Murphy
Sun Stone Management Advisors