Case Study: Leading Healthcare Stop‑Loss Carrier achieves improved market insights and predictive power with IQVIA

Using Market Intelligence to Inform Stop-Loss Strategy and Grow Business

Leading Healthcare Stop-Loss Carrier Company engaged IQVIA to improve its go-to-market strategy and build predictive models to identify and quantify high‑cost, high‑need populations. The customer had previously relied on limited internal data and basic demographics, which proved insufficient for precise risk transfer and pricing amid COVID‑19 volatility, rising medical inflation, and the emergence of high‑cost therapies.

IQVIA delivered customized medical and prescription claims extracts for non‑identified high‑cost cohorts, ran multi‑year cohort analyses to map patient journeys and population risk, and provided ongoing data delivery via Snowflake (with BI/dashboard options). As a result, the Leading Healthcare Stop-Loss Carrier Company integrated IQVIA insights across business units to inform strategy, market expansion, plan design, and quoting decisions—gaining improved market insights and predictive power, greater confidence and accuracy in assessing opportunities, and the ability to pursue business it would previously have passed over.