mdstrat.comAdvanced Medical Strategies (AMS) | Healthcare Analytics

Solutions PREDICT Platform Discover how our cutting-edge technology delivers unrivaled predictive insights for health plans, payers, underwriters, and more. Explore now Payment integrity Accelerate savings with automated workflows. Risk management Predict and plan for the highest-cost claims. Business intelligence Get data-driven contract and policy insights. Company Our team Meet our world-class experts & innovators. Updates & insights Get the latest news & insights from AMS. Resources Book demo Members X Solutions PREDICT Platform Discover how our cutting-edge technology delivers unrivaled predictive insights for health plans, payers, underwriters, and more. Explore now Payment integrity Accelerate savings with automated workflows. Risk management Predict and plan for the highest-cost claims. Business intelligence Get data-driven contract and policy insights. Company Our team Meet our world-class experts & innovators. Updates & insights Get the latest news & insights from AMS. Resources Book demo Members X Book demo Members Advanced Medical Strategies (AMS) Welcome to the premiere provider of payment integrity , risk management , and business intelligence solutions to identify and address excessive claims, prevent and recoup overpayments, and effectively manage the risks associated with high-cost claimants and group health underwriting. Get started NEW SOLUTION PredictPx: Achieve unprecedented price transparency Our latest PREDICT tool triangulates hospital price transparency data, health plan transparency in coverage data, and medicare pricing to bring unrivaled clarity to your payment integrity workflows. Request a demo NEW SOLUTION OUR SOLUTIONS Optimizing healthcare costs & quality with cutting-edge automation Payment Integrity Explore cutting-edge solutions that empower your team to automate payment integrity processes, avoid or recover overpayments, and reduce outsourcing costs. Explore Solutions Risk Management Enhance critical coverage decisions with analytical tools that support 90% of all stop-loss and reinsurance premiums written annually. Explore Solutions Business Intelligence Strengthen your contracts and policies with powerful predictive analytics, advanced reporting tools, and consultative support. Explore Solutions Total billed charges analyzed $6,421,226,350,099 MEET AMS Bringing clarity to healthcare costs for over 20 years Since Day 1, we’ve made it our mission to make healthcare more affordable, efficient, and effective for everyone. Ever since, our clinical experts, technologists, data scientists have been united and inspired by that one pursuit. More about AMS PREDICT PLATFORM Revolutionizing payment integrity & risk management Our industry-leading solutions are built on one of the most versatile and comprehensive analytic platforms ever built for healthcare. PREDICT delivers all the data and insights our expert customers need to pinpoint excessive claims, avoid or recover overpayments, and manage risks associated with high-cost claimants. Explore solutions PREDICT PLATFORM Strategic insights Strategic insights Surface them in seconds with the industry’s leading claims analytics. Surface them in seconds with the industry’s leading claims analytics. Flexible subscriptions Flexible subscriptions Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform. Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform. Minimal integration Minimal integration Our solutions can be rapidly installed and easily accessed with no customer IT lift. Our solutions can be rapidly installed and easily accessed with no customer IT lift. Robust security Robust security The safety of your data is our top priority. HITRUST certification is just the start. The safety of your data is our top priority. HITRUST certification is just the start. Strategic insights Strategic insights Surface them in seconds with the industry’s leading claims analytics. Surface them in seconds with the industry’s leading claims analytics. Flexible subscriptions Flexible subscriptions Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform. Pay a non-contingency subscription for individual solutions or an enterprise subscription for our full platform. Minimal integration Minimal integration Our solutions can be rapidly installed and easily accessed with no customer IT lift. Our solutions can be rapidly installed and easily accessed with no customer IT lift. Robust security Robust security The safety of your data is our top priority. HITRUST certification is just the start. The safety of your data is our top priority. HITRUST certification is just the start. Proven, validated data security To further mitigate third-party privacy, security, and compliance risks, we maintain HITRUST CSF Certification for all the solutions we provide. OUR IMPACT How AMS solutions have earned our clients’ trust FACS Within the first 3 months of using FACS, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.” Large National TPA Predict Cancer treatment is unique to each patient. I appreciate that AMS provides a typical treatment course. It has been a life saver for me, especially when deciphering what the course of treatment may look like for cancer patients. I have a reliable resource that saves me research time every day.” Medical Underwriter Nurse, Stop Loss Carrier Predict We often receive RFPs with cases only containing drug names and other basic information. By utilizing Predict Rx, we’re able to view several different benchmarks for dosed costs and come up with the actual price of the given drug.” Underwriter, Direct Stop-Loss Carrier CensusRater When we receive a fully insured conversion group without claims experience, CensusRater is the only tool we trust to determine whether or not to quote, set the appropriate spec deductible, and assign a competitive rate.” VP Underwriting, Large National MGU Profiler With the proliferation of specialty drugs, there is great value in adding Profiler data to our monthly review. It really augments our existing tools in identifying claimants and their potential costs.” Assistant Vice President, National TPA Profiler Profiler helped us determine lasers for the upcoming renewal accounts. It has saved us several hundred thousand dollars in lasers that we would likely not have recognized without the system. We appreciate the constant upgrades.” SVP, Top Reinsurance Carrier OUR IMPACT How AMS solutions have earned our clients’ trust Within the first 3 months of using FACS, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.” Large National TPA Within the first 3 months of using FACS, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.” Large National TPA Within the first 3 months of using FACS, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.” Large National TPA Within the first 3 months of using FACS, $11.5M of significant clinical issues were identified by the system that were easily impactable in the short term. In the long term, the estimated/projected questionable spend across the year is upwards of $46M.” Large National TPA Previous Next Ready to join the AMS revolution? To further mitigate third-party privacy, security, and compliance risks, we maintain...