Insightin Health

Insightin Health

Insightin Health's AI driven decision platform helps health insurance companies with preventative actions for their members.

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$12.0m

Series A
Total Funding000k
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Insightin Health operates as a data-driven decision-making technology provider for the healthcare sector, specifically targeting health insurance plans. Founded in 2016 by Enam Noor, the company aims to address the fragmented and siloed nature of healthcare data. Noor, who serves as the CEO, has a two-decade background in marketing analytics and consumer engagement, which he now applies to optimize healthcare member engagement. His prior venture, Desme, was a cloud-based marketing consultancy that also leveraged big data and machine learning, laying the groundwork for his current focus. This experience, which includes developing solutions for prominent brands like Kaiser Permanente and Johns Hopkins Healthcare, shapes Insightin Health's approach.

The company's core offering is a Software as a Service (SaaS) platform named inGAGE™. This platform functions by integrating disparate data sources—including medical, clinical, cognitive, and social determinants of health—to create a unified view of each health plan member. Utilizing artificial intelligence and natural language processing, inGAGE™ analyzes this consolidated data in real-time to generate predictive insights and recommend the "Next Best Action" (NBA) for each individual. This enables healthcare payers, such as Medicare Advantage and Managed Medicaid plans, to personalize member engagement and proactively address their needs. The business model is centered on providing this platform to health plans, which use it for member acquisition, retention, and managing care more effectively.

The inGAGE™ platform helps clients improve quality measurements, increase member satisfaction, and ultimately enhance plan profitability by reducing costs and improving member retention. For instance, the platform features a capability called CAHPS® Predict, which helps Medicare Advantage plans understand and improve member satisfaction scores by providing real-time visibility into influencing factors and suggesting workflows for intervention. By turning operational data into a strategic asset, Insightin Health allows health plans to move from reactive to proactive member management. The company has raised a total of $14.4 million in funding over two rounds, including a $12.4 million Series A in February 2021, co-led by the Blue Venture Fund and Blue Heron Capital.

Keywords: member engagement, healthcare payers, data analytics, SaaS, artificial intelligence, next best action, health insurance, care management, personalized healthcare, consumer-centric health

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