The machine learning startup Health at Scale, founded by MIT alumni and MIT Professor John Guttag, is helping make health care more proactive and personalized.

SAN JOSE, Calif., Aug. 15, 2024 /PRNewswire/ -- Planned Administrators, Inc. (PAI) is partnering with Health at Scale to identify inappropriate healthcare claims before they are paid. Through the partnership, PAI will use Health at Scale's breakthrough technology for real-time screening of claims in a pre-payment setting, to detect inappropriate claims and surface them for review before the dollars are paid out."Employers are working hard to fulfill their mandate of using plan dollars wisely," said George Stiles, PAI President and COO. "This deployment represents a big step forward in PAI's ongoing commitment to help them fulfill their fiduciary duty and provide employees with the best care at the lowest cost."An estimated 25-30% of all US healthcare spend is estimated to be lost to spending that is waste, abuse or fraud, which equates to almost $1,700 per member per year. This cost burden directly impacts the ability of employers to continue providing high-quality, affordable health benefits to their employees