They work in just two steps. First, Blue receives your health insurance's database through your own company, broker or directly from the health insurance. Second, Blue learns from this history what the next year should look like according 3 predictive models:
1. Model to predict how much a given population (company, for example) should spend on health, as a whole.
2. Model to predict the risk of a person having serious claims in the next year.
3. Model to predict which are the most atypical and probable procedures, those that are worth avoiding, to be performed by each person.
What kind of data is needed to begin with the predictions?
In order to predict the procedures of the future, the only thing Blue needs is to know the procedures of the past. To make the forecasts possible it is necessary to have at least 1 year of historical data on your health insurance's database.
But is it real Artificial Inteligence, or is just another BI?
Yes, for sure it is. At Blue all the information is always about predictions a year ahead. That is why Blue is purely an artificial intelligence, which is concerned with giving you only the most relevant information about the future.