FRAUD, WASTE & ABUSE
Outpace the schemes before they scale.
Bad actors adapt the moment a rule changes. We simulate the adversary directly, modeling how billing schemes, upcoding, and collusion evolve in response to your controls, so your SIU sees the next move before the payout, not after.
RISK & PRICING
Stress-test the book against the future, not the past.
Static actuarial models assume the world holds still. We run thousands of forward scenarios, from utilization shocks to regulatory shifts to competitor moves, so pricing and reserves hold up under the conditions that actually break them.
CARE & UTILIZATION
Rehearse interventions before they touch a member.
Every care-management or prior-auth policy is a bet on outcomes and cost. We let you play those bets out across simulated populations first, finding the design that improves member health and total cost of care before rollout.
NETWORK & STRATEGY
Model the market as a moving adversary.
Network design, contracting, and benefit strategy all play out against competitors who respond. We simulate that contested environment so leadership can pressure-test a strategy against the counter-moves it will actually face.