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AI

Abacus Insights

Abacus Insights provides a cloud-native platform that standardizes fragmented payer data for U.S. health plans, supporting risk adjustment, clinical data exchange and compliance.

Abacus Insights, founded in 2017, builds a cloud-native data transformation platform for health plans. Its core task is unifying fragmented payer data - legacy systems, claims records and clinical sources - into a single standardized resource that supports risk adjustment, clinical data exchange and regulatory compliance. The platform refreshes data every 15 minutes, against an industry norm of roughly 24 hours.

The engineering work spans data transformation, integration and interoperability, machine learning and cloud-native platform development. The company reports managing data for more than 55 million members across the United States, delivering over 25 use cases and realising more than $10m in medical loss ratio savings. It has raised $100m in funding and partners with AWS, Snowflake and Databricks.

Abacus Insights was founded by Dr. Minal Patel, a physician-executive with experience in payer organisations. The company describes its focus as improving patient outcomes and reducing healthcare costs, working at the intersection of healthcare and technology. Its customers operate in the health insurance and health plan sectors.

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