I’m considering joining what I think is a promising startup applying machine learning to health plan operations. They already have 3 multi year deals signed with a national plan (payment integrity, provider data, and Medicare RAF scoring), outside of established players (Optum/Cotiviti) and some newer startups (Cogitativo), I don’t see much competition and it looks pretty promising, anyone know of other competitors or if I’m missing something? Seems pretty wide open to me.

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A couple different startups have already been doing this for some time and many health plans already do this internally with their consultant roles / more enterprise-level analytics org plus a few use firms like Accenture, I wouldn’t say there’s no competition.

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Biggest competition is internal. Look at how many data scientists the big plans are employing — definitely working on this as a core competency. May not look competitive but the companies you mentioned have a big head start so would try to understand what’s really differentiated about the startup

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Which company is this?

Olive

Agreed with all of this, only place not using data and digital is pharma

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