Humbi AI stands out by combining unique access to national Medicare and Medicaid datasets with cost-effective actuarial services. Unlike competitors who offer either standalone HEOR dashboards or pure actuarial services, we provide an integrated solution that's substantially more cost-effective than traditional firms like Milliman and Wakely.

We have comprehensive access to Medicare data (Parts A, B, C, and D) from 2011-2024, T-MSIS Medicaid data for all 50 states, commercial claims data (2015-2024), and a detailed provider database. This data is available at the claim line and beneficiary level, covering over 60 million lives.

Our actuarial experts build sophisticated financial models for projecting performance, profitability, and risk in value-based care arrangements. This includes MLR projections, premium revenue forecasting, utilization trends, and custom analytics tailored to your specific needs.

We serve three core markets: providers managing value-based care programs (like Rise Health's ACO REACH program), regional health plans (such as CareFirst BCBS), and life sciences companies requiring specialized analytics and HEOR studies.

We offer episode-based cost and utilization benchmarks, provider performance management analytics, patient acuity models, and custom analytics tailored to specific business challenges such as risk stratification and pharmacy trend analysis.

Our actuarial experts have deep knowledge of healthcare regulations, quality metrics, and reporting requirements, including HEDIS and CMS Star Ratings. We ensure all analytics, models, and strategies comply with industry standards and requirements.

Beyond analytics, our actuarial team provides strategic consulting and decision support for network design, value-based contracts, and benefit plan changes. We help interpret insights and guide data-driven decision-making.

We provide specialized analytics for pharmaceutical and biotech companies, including health economics and outcomes research (HEOR), market access analytics, and strategic insights derived from our comprehensive Medicare and Medicaid datasets.

We build customized actuarial models and algorithms to address your unique business challenges. Our highly configurable financial modeling capabilities can be tailored to specific value-based care arrangements, provider networks, and market strategies.

We provide robust benchmarking using our comprehensive data assets, allowing organizations to compare performance across various metrics, including cost, utilization, quality, and outcomes at regional and national levels.