THE PLATFORM

Fathom AI

Proprietary AI technology trained exclusively on healthcare data.

Turn Hidden Waste Into Measurable Savings

Fathom AI represents a breakthrough in healthcare artificial intelligence—a closed, secure system trained exclusively on healthcare data to provide predictive and prescriptive insights without the risks of generic AI models. Built into every module of Health Cost IQ, Fathom delivers the intelligence you need to make confident, data-driven decisions.

Secured Behind our Firewall
Trained Only on Healthcare Data
Near Zero
Hallucinations

Future Cost and Risk Prediction

Predict future costs, risk levels, and likelihood of disease development before they occur. Identify individuals likely to hit preset high-cost thresholds with variable time periods for predictions at 6, 9, and 12 months. Accurately attribute specific drivers of high costs with precision analytics.

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Care Automation and Intervention Optimization

Identify optimal treatment options specifically tailored for individual patients. Analyze, assess impact, and screen patients by future cost and risk with comprehensive patient analytics. Deliver health recommendations based on each person's unique profile and predicted outcomes.

Personalized Care Prescription

Generate comprehensive reports detailing Best Buy Generics, Generic Equivalents, Generic Therapeutic Alternatives, and Branded Generic opportunities. Ideal for plan design and formulary optimization, this module enables ongoing, enterprise-wide cost containment initiatives with measurable ROI.

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Features

Predictive Precision
Predict diseases before they develop and identify high-cost individuals before thresholds are reached
Variable Time Periods
Flexible 6, 9, and 12-month prediction windows for strategic planning
Continuously Updated
Models constantly enhanced with new features and open healthcare datasets
Versatile Training
Trained on multiple varied datasets and specific subpopulations for maximum accuracy
Secure & Proprietary
Closed system behind our firewall, accessible only to authenticated users
Prescriptive Intelligence
Goes beyond prediction to recommend specific actions and interventions

OUR PARTNERSHIPs

Johns Hopkins AGC Technology

Our Risk Module leverages the highly regarded Johns Hopkins ACG® (Adjusted Clinical Groups) clinical grouping methodology, the gold standard in healthcare risk stratification developed at Johns Hopkins University. This sophisticated technology classifies patients into Healthy, Low, Moderate, High, and Very High risk categories while providing comprehensive, patient-specific predictive risk profiles that forecast future health status and costs. The ACG methodology enables precise identification of members at risk for adverse outcomes such as 30-day hospital readmissions, extended hospitalizations, ICU admissions, and persistent high healthcare resource utilization—empowering you to identify case management resources where they'll have the greatest impact on both health outcomes and cost containment.

Don’t take it from us – listen to our customers

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