India's largest platform and marketplace for GCCs & AI

Sign in

India's largest platform and marketplace for GCCs & AI

3AI Digital Library

Systematic targeting to shortlist customers

3AI September 10, 2020

Large player in the US healthcare industry

Problem Statement

  • Company wants to improve the completion rate by reaching out to customers more likely to complete the HRA ( for commercial plans)
  • Company does not want to invest huge sums of money on this campaign and hence wants a very precise and concise target list
  • Company expects more customers coming out of exchanges due to the implementation of the Obama Care and has no idea about the characteristics of these members

Analytics Led Approach

  • Leveraged the company’s claims data (medical claims, Rx claims, Mental Health Claims, Vision Claims), enrolment and case management data to shortlist 400+ predictors of HRA completion
  • Company did not have psychographic / behavioral data; leveraged its partnership with 3rd party vendors to arrive at 200+ behavioral predictors
  • Interactions between predictors were studied and principal components were identified.
  • Robust statistical techniques were employed to arrive at propensity rates for HRA completion based on which targets were identified.

Business Impact

  • Company was in a position to target customers for HRA completion from 10% of customer base and still increase the HRA completion rate over five fold
  • Company could compute the propensity to complete HRA at a customer level depending on behavioral parameters and change in utilization behavior

Critical Success Factors

  • partnership with 3rd party vendors enabled the clients leverage critical psychographic information that would help predict the HRA completion behavior of the members, especially for people coming off exchanges

    3AI Trending Articles

  • POV: Executive’s guide to build GenAI COE Effectively

    Featured Article Author: Mausam Deb (Healthcare & Life Science – AI Leadership Consultant) Generative AI (aka LLM) is no less than a rage for the last few years. The democratization of technology achieved by OpenAI through its GPT-3.5 model is remarkable. Market size of GenAI is growing in leaps and bounds. Every company in the […]

  • The Evolution of Generative AI and Human Creativity: Ethical Concerns and Future Perspectives

    Featured Article Author: Bhabani Chatterjee, Capgemini Invent Generative AI revolutionized notions of creativity — in manufacturing, product design, content creation, and problem-solving across various domains. These advancements not only push human invention further but also open up a new world for enterprises and individuals. Of course, ethical implications abound, but the excitement is undeniable. The […]

  • Future of Work 2.0: Reimagining Work in the Age of Contextual Generative AI

    Featured Article Author: Mahadevann Iyerr, MAAVRUS The way we work is changing a lot, and it’s more than just using new technology. As technology improves quickly and more data is created, businesses need to rethink how they do things to stay successful. This change is happening because of AI, the huge amount of data we […]

  • Transforming Healthcare with Natural Language Processing (NLP)

    Featured Article Author: Saurav Kumar, UnitedHealth Group Introduction Natural Language Processing (NLP) is a branch of artificial intelligence that focuses on the interaction between computers and humans through natural language. By enabling machines to understand, interpret, and respond to human language, NLP is revolutionizing various industries, including healthcare. In this blog, we will explore how […]