Company Research Report on Predict Health, Inc.

Company Overview

• Name: Predict Health, Inc.

• Mission: The company is dedicated to rebuilding the healthcare system to better serve seniors, aiming to improve health and wellbeing while addressing financial challenges in Medicare and Medicaid populations.

• Founded: No information is available.

• Founder: The founding story involves Shub Debgupta and his family, particularly a personal experience with his father, Sailesh.

• Key People:

• Shub Debgupta, Founder & CEO

• Michael J. Doyle, CEO, President, and Board Member

• Tom Hack, CFO

• Ken Mikesh, VP of Sales and Business Development

• Jeff Miller, Chief Product Officer

• Headquarters: No information is available.

• Number of Employees: No information is available.

• Revenue: No information is available.

• Known For: Predict Health is recognized for using AI-driven member intelligence to aid health plans in growth, understanding member needs, and improving their experiences. They focus on increasing member retention, acquisition rates, and eliminating medical debt for seniors.

Products

Overview

Predict Health develops solutions centered on improving health plan performance through member intelligence.

Key Products:

1. Member Intelligence Solutions:

• Description: AI-driven solutions for capturing and understanding member feedback across Medicare, Medicaid, ACA plans. Aimed at improving operations and meeting regulatory needs.

• Key Features:

• Predictive analytics for member actions and motivations.

• Tools to identify and prioritize member actions for better ROI.

• Improve health equity and STAR Ratings.

• Address vulnerable members' needs and LIS qualification.

2. Pharo Platform:

• Description: A cloud-based analytics platform for Medicare Advantage payors.

• Key Features: Unique data insights, member behavior prediction, and compliance with CMS requirements.

3. Enrollee Advisory Committee Solutions:

• Description: Facilitates the implementation of Beneficiary Advisory Groups for Medicaid plans.

• Key Features: Manages enrollee advisory groups to improve HEI scores and meet NCQA requirements.

Recent Developments

• December 2024: Michael J. Doyle appointed as CEO, President, and Board Member of Predict Health.

• November 2024: Founder Shub Debgupta recognized by Northern Virginia Technology Council as a Tech Executive Honoree.

• July 2024: Senior executive team expanded with the addition of Tom Hack as CFO and Ken Mikesh as VP of Sales and Business Development.

• June 2024: Additional financing closed for product development growth.

• April 2024: Introduced solutions for Medicaid plans to meet CMS 2024/25 Final Rule requirements.

• March 2024: Launched a new Advisory Group management solution for improving Health Equity Index scores.

• February 2024: Completed a second round of Series Seed funding.

• January 2024: Renewal of all client contracts and witnessed market growth.

Financial and Operational Impact

• Clients reportedly see a 24:1 ROI, with membership retention increased by 15%.

• Over $800,000 in medical debt eliminated for vulnerable seniors.

• ACO client membership grew by 30%, with $2+ million in increased margin for a Medicaid plan.

Awards and Recognition

• Tech Company Honoree (2024): Recognized by the Northern Virginia Technology Council (NVTC).

Predict Health continues to evolve its solutions and services, focusing keenly on enhancing member engagement and operational efficiencies in the healthcare sector.