Community Health Options, a Maine-based nonprofit health insurer, has selected Gradient AI to help improve its risk management processes for group health clients.
By adopting Gradient AI’s integrated Risk Management Life Cycle solution, the health insurer aims to enhance underwriting precision, streamline operational efficiency, and support long-term financial performance, according to FF News.
Gradient AI’s platform combines SAIL™, a predictive analytics tool for new business underwriting, with Renewal Analytics, a solution for managing risk in existing business.
Together, they provide a full-cycle risk management framework that helps organisations assess and mitigate risk across the entire policy lifecycle.
The solution is intended to reduce variability, improve quoting accuracy, and deliver consistent insights for both new and renewing business.
Community Health Options selected Gradient AI to support its growth strategy and improve risk assessment accuracy.
By implementing the solution at both initial underwriting and renewal stages, the insurer gains a unified framework for evaluating risk, allowing teams to make more informed decisions, enhance efficiency, and optimise member outcomes.
Gradient AI, founded by Stan Smith, offers AI-powered tools that empower insurers with predictive analytics, operational insights, and integrated risk solutions.
Community Health Options delivers tailored health insurance coverage and administrative services to employers and individuals in Maine, prioritising affordability and accessibility for its members.
In addition to technological capabilities, Community Health Options highlighted Gradient AI’s consultative approach as a key factor in selecting the platform.
The vendor worked closely with the health plan’s team to ensure alignment with its long-term strategy and unique organisational goals.
Kevin Lewis, CEO, Community Health Options, said, “We needed a platform that could fill gaps in data and provide a clearer picture of risk for new business, while also offering greater insights to help proactively manage our existing book. The Gradient AI platform enables our teams to work more efficiently and provide more accurate predictions on member and group risk. Ultimately, it supports our strategic goal of providing a better product to our customers, which supports our growth strategy.”
Stan Smith, founder and CEO of Gradient AI, said, “Community Health Options is taking a forward-thinking approach to managing risk across the policy lifecycle. By using data-driven insights at both the underwriting and renewal stages, they are strengthening performance and delivering greater value to their members. We worked closely with their team to ensure our solutions align with their goals and support their long-term strategy.”
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