Co-designed with Highmark · Predictive activation

Reclaim the $12B+ U.S. readmission spend—before the next avoidable admission

Hospital readmissions drive tens of billions in waste every year—and a large share is preventable. CareMap uses predictive analytics to surface activation gaps while there is still time to intervene, so teams move from reactive firefighting to precision outreach.

$47.5BAnnual U.S. readmission-related waste
~30%Estimated share that is preventable
Gaps firstFlag risk before it becomes an emergency

The cost of waiting is measured in admissions—and margin

Plans sit on extraordinary signal in claims and clinical data, yet disengagement still shows up as ED visits and readmissions. CareMap, co-designed with Highmark, aligns analytics with how activation teams actually work: where to focus, who is ready, and what to do next.

The problem

Readmissions and downstream acute utilization drain budgets and member trust. Much of that spend is tied to members who were reachable earlier—but never fully activated.

The shift

CareMap combines claims and clinical signals with predictive models built for health-plan workflows, so leaders see where engagement is lagging and which interventions have the highest expected return.

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Eight capabilities. One goal: activate members earlier.

A sneak peek at the CareMap workspace—built to spark ideas, not bury you in specs. The full platform is reserved for design partners on the waitlist.

Sneak peek

CareMap Dashboard

See activation health in one place—claims plus clinical context, without tab-hopping.

Sneak peek

Member Activation Scores

Know who is primed to engage right now—so outreach lands when it can still change trajectory.

Sneak peek

Activation Gap Map

Spot the geographies where engagement is leaving the most ROI on the table.

Sneak peek

Disengagement Driver Decomposition

Move past “inactive” labels—see which barriers are actually holding members back.

Sneak peek

Outreach Channel Recommender

Get channel ideas tuned to clinical need and demographics—fewer shots in the dark.

Sneak peek

Segment Discovery

Uncover hidden member clusters—and the “activation plays” worth testing first.

Sneak peek

Intervention ROI Estimator

Project lift and cost per strategy—so finance and care management speak the same language.

Sneak peek

Temporal Engagement Windows

Time outreach around life-event windows when members are most likely to say yes.

Interventions that pay for themselves—many times over

Illustrative targets show how small, well-timed activation spend can offset catastrophic utilization. Figures are directional models for partner discussions, not guarantees.

40×
Medicare scenario

A $650 CareMap-class intervention mapped to roughly $27,750 in net savings by helping avoid a $28,400 complex readmission.

73×
Medicaid scenario

A $1,800 proactive outreach tied to roughly $131,700 in net savings by reducing the likelihood of a $133,500 Level-3 NICU stay.

At 50% Highmark engagement, modeled savings from stronger activation can reach on the order of $30 million annually—enough to fund innovation, stabilize margins, and protect member experience at the same time.

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Explore a slice of the CareMap workspace

Click the tabs and hotspots below. This is a lightweight front-end mock—your real deployment would plug into live data and role-based views.

Switch views to see how teams might move from portfolio pulse to geo hotspots to hidden segments—the same narrative arc we use in live walkthroughs with partners.

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360° activation snapshot

Illustrative member readiness vs. outreach capacity—what leadership sees first in CareMap.

Activation index ↑ 4.2 pts At-risk cohorts 12 Next-best segments 6

Geo hotspots (sample)

Tap a pulse on the map to see how teams might prioritize ZIPs with high ROI lag.

Hint: Select a hotspot to preview a gap narrative.

Hidden segments (sample)

Pick a row to preview the activation path CareMap would recommend for that segment next.

Selected segment: pick a row above.

Built by operators who speak payer, provider, and product

Leadership spans clinical and technical depth—Rebekah, M.D., Sean, Abhay, and Zachary—with ties to Carnegie Mellon University and a co-design partnership with Highmark. We are shipping toward pilot readouts in June, with a Seed round targeted for Fall.

June — Pilot signals

Early outcome and engagement metrics from the Highmark-aligned pilot path—shared first with waitlist partners.

Fall — Seed horizon

Room for a small circle of strategic design partners who want influence on the roadmap before broader rollout.

Limited design-partner slots. If you are responsible for Medicare, Medicaid, or duals activation, add your name now—we are prioritizing conversations with teams who can move quickly.

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40× / 73×
Illustrative Medicare & Medicaid ROI targets
~$30M
Modeled annual savings at 50% Highmark-scale engagement
$47.5B
National readmission waste pool we are attacking
CMU × Highmark
Research rigor meets national payer reach

Get first access to the CareMap workspace

Join the waitlist for briefings, pilot artifacts, and a front-row seat as we scale with Highmark-aligned partners. No spam—just high-signal updates.