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OUR APPROACH

Health data analytics, plus the team to
act on it

We offer two connected ways to turn your data into healthier people and lower spend.
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Imagine knowing exactly how to turn your population health data into real results for your people and your bottom line.

That’s the Vital Incite difference.

Vital Incite: Our core offering

With our Vital Incite platform, we integrate your health data, analyze it through clinical, financial, and population health lenses. Our embedded strategy team helps you understand what is impacting your plan and brings you recommendations through analyzing your data or whenever our AI-driven model flags an alert, and our clinical team intervenes as needed.

Two colleagues talking while walking outside an office building

One accurate source

We pull your claims data together with clinical, pharmacy, HR, and vendor sources into one place. And we run the field's most rigorous data checks monthly, so what you act on is clean and timely.

The highest standards

We run your population health analytics through Johns Hopkins ACG® risk indexing, GAM provider quality, and Medicare and NADAC drug-cost data.

An embedded strategy team

Our team is embedded in your data to research, monitor, and act on findings every month. We forecast cost savings and flag overpaid claims as they happen. Our clinical team intervenes as needed.

Vital Oversight: Our deeper tier

Vital Oversight gives you everything in our Vital Incite signature platform, plus a dedicated clinical team — medical directors, pharmacists, and claims and contract review specialists. They monitor claims continuously and actively intervene on high-cost cases to redirect care and recover plan dollars.

When the data surfaces a high-cost treatment or diagnostic, Vital Oversight goes after it to determine the best path forward.
Our secure AI model monitors 100% of your claims data, and our clinical team steps in on your highest-cost cases.
When appropriate, we redirect care or work to recover essential plan dollars.

This deeper tier add-on to our core Vital Incite platform gives your team complete access to our clinical team’s expertise.

They catch billing and pharmacy errors and get your money back. They steer expensive cases toward better, lower-cost care. And they give your stop-loss negotiations a clinical leg to stand on.

See how it works

Having access to the data is not enough.

We lean heavily on Vital Incite's expertise and recommendations — they shine a light on what's working and where we can improve, helping us hold our vendor partners accountable.
— Bryan Trainor
Senior Manager of Talent Wellbeing & Compensation, Kwik Trip

Analysis is only worth what it changes.

Whether it’s a claim paid in error, a member heading toward an expensive therapy unnecessarily, or a vendor not delivering what they promised, the outcome when you work with Vital Incite is the same:

You see it early, you understand it, and you have a team helping you do something about it.

See what acting on your data looks like

Have a conversation with our team to learn how we differ from the healthcare data analytics companies you’ve worked with before.
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Frequently asked questions

The Vital Incite platform is our core offering: we integrate your health data and analyze it through clinical, financial, and population health lenses. Then, our embedded strategy team brings you recommendations as they arise, with input from our clinical team as needed. Vital Oversight is a deeper tier that adds a dedicated clinical team (medical directors, pharmacists, and claims and contract specialists) who continuously monitor claims and intervene directly to redirect care and recover plan dollars.

Most clients start with Vital Incite, which surfaces what's driving spend and what to do about it. Vital Oversight makes sense when you want a clinical team acting on those findings directly — pursuing recoveries, redirecting care, and supporting stop-loss negotiations. You can always add Vital Oversight at a later date if you want to go deeper with your data's cost savings potential.

We integrate any source that supports your health plan: medical and pharmacy claims, clinical data, HR files, and vendor data down to EAP and absence management — all in one continuously monitored place.

It's a nationally recognized system for measuring the health risk of a population based on diagnoses and claims. We use it to forecast which members are heading toward high-cost care, so you can plan for it and make adjustments whenever possible.