Our client is a major provider of health insurance plans in the US. The client expects member steerage to save significant medical costs and lower out-of-pocket expenses for members. They wanted to identify members with the likely need for a shoppable service(s) so that they can be steered towards cost-effective providers. More specifically, the client wanted to:

• Predict members that are likely to have a shoppable procedure (or claim) in the next 30 days
• Identify key drivers to enable member outreach team to intervene and steer members towards cost-effective procedures and providers