Predict | Propensity to Pay

Predict propensity to pay and optimize collection.

With more than one-third of Americans reporting that an unexpected medical bill greater than $100 would push them into debt, healthcare organizations are grappling with increasing payment collection difficulties, major margin reductions, and a significant loss of revenue. In 2018, $12 million was the average amount of uncompensated care reported by hospitals, and this figure is expected to grow.

BUILT FOR HEALTHCARE

Ingest, normalize, and blend data
from dozens of health data sources.

Electronic Health Records
Unstructured Clinical Notes
e-Prescribing Data
Vital Signs
Remote Monitoring Data
Medical Claims
Rx Claims
ADT Records
Lab Test Results
Social Needs Assessments
Social Determinants of Health
Operations & Services

Likelihood that patient bill will not be paid in the next six months

HIGH RISK

Patient ID

Gender

Age

Risk Score Percentile

239851110

Female

37

98

Impact on risk

Contributing factor

Value

+24%

Uninsured Children Percentage Measure

30%

+18%

# of Avoidable ER Visits (12M)

3

+12%

# of Missed / Rescheduled Appts (12M)

3

+10%

Reported Barriers to Care

Transportation

AI INFORMS ACTION

Pinpoint high-risk individuals and surface actionable risk factors.

WellSect generates explainable predictions using thousands of auto-generated, clinically relevant contributing factors.

Support

Support patients with financial literature

Identify

Identify patients likely to qualify for benefits

Direct

Direct patients to appropriate care settings for their unique needs and circumstances

EXPLORE MORE USE CASES

Emergency Room Visits & Observation Stays

Payers

Providers

Reduce ER visits and enhance continuity of care.

Maternal Health and Obstetric Outcomes

Payers

Providers

Enhance maternal care and avoid adverse outcomes.

Rising Risk and Cost Bloomers

Payers

Providers

Identify rising risk individuals and improve outcomes.

Make AI/ML a core element of your care strategy.

Get in touch today to see the WellSect platform in action.