Jesse C

AMS is a healthcare decision intelligence company for organizations responsible for healthcare cost and risk. Since 2003, AMS has focused on the relatively small percentage of healthcare decisions where clinical complexity, financial exposure, and risk converge, and where better decisions can have a disproportionate impact. Today, health plans, stop-loss carriers, MGUs, reinsurers, TPAs, ASOs, brokers, and consultants use AMS intelligence across four connected areas: risk and underwriting, clinical intelligence, pricing and benchmarking, and payment integrity. Across those areas, AMS helps organizations identify emerging high-cost risk, understand the clinical and financial implications of diagnoses and therapies, evaluate healthcare pricing, and identify potential clinical, coding, billing, utilization, and reimbursement issues before opportunities to act are lost. Predict One brings this intelligence together, helping users quickly understand what deserves attention, why it matters, and where action may still be possible. AMS intelligence is available through applications, APIs and integrations, and delivered analytical work. AMS provides the intelligence, evidence, benchmarks, and projections that support decisions while clients retain control of payment, pricing, contracting, underwriting, investigation, and clinical actions. For more than two decades, AMS has been building intelligence around some of healthcare's most complex and financially consequential decisions. AMS is HITRUST CSF Certified.