Medical Economics · Daman Cohort

312,400 lives · MTD

Live signals · UAE region

PMPM

$432

−6.2% vs baseline

Avoidable ER

−27%

vs prior year

Pharmacy adherence

84%

+5 pts

Forecast savings

$48.2M

next 12 mo

PMPM — actual vs baseline

−$28 PMPM

Savings simulation

Adjust investment to see modeled outcomes.

Pre-diabetes coaching+$6.4M

Cardio adherence push+$4.1M

Mental health concierge+$2.8M

Vaccination drive+$1.2M

Avoidable ER trend

Preventable disease spend

Anomaly detection

Imaging billed 3.2× regional avg

Provider #4421

Same-day duplicate authorizations

Network spike: +18%

Outlier denial rate

Plan B · pre-auth gap

Quality metrics (HEDIS-style)

Diabetic A1C control81%

Hypertension control76%

Cancer screening compliance64%

Postpartum follow-up71%

AI care manager brief

12 high-risk diabetic members in Abu Dhabi cohort show declining adherence (−14%) and rising HbA1C trajectory. Recommended intervention: enroll in Pre-Diabetes Pilot with bilingual coach and CGM provisioning. Modeled annual savings: $184k. Confidence: 0.87.