Siftwell Analytics, Inc.
Siftwell Analytics is an AI prescriptive analytics platform for community health plans.
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What is Siftwell Analytics, Inc.?
Siftwell Analytics, Inc. is an AI-powered prescriptive analytics platform designed specifically for community health plans to identify members at risk of developing chronic conditions and comorbidities. The platform combines AI, machine learning, and causal inference with deep managed care expertise to deliver actionable insights — revealing the WHO and WHY behind health risks plus specific WHAT-to-do recommendations, unlike traditional tools that only provide risk scores. The Pegasus Dashboard ingests claims, eligibility, HEDIS/CAHPS/HOS metrics, HRAs, and social determinants of health data. Key features include Priority Pathways for knowing which members need attention now, Impact Blueprints for resource-aware action plans, and Barrier Breakdown for identifying obstacles to better outcomes. Siftwell serves plans across Idaho, Montana, Wyoming, and North Carolina, with expansion planned into New Jersey and Arizona.
Siftwell Analytics, Inc. pricing
Pricing model: Freemium
Pricing details are not publicly available on the website. Siftwell offers an analytics-as-a-service model for community health plans. Prospective customers must contact CEO Trey Sutten directly at [email protected] or 202-569-9674 for pricing information and demos. The company does not advertise a free tier or self-service signup option.
Siftwell Analytics, Inc. pros
- AI-powered prescriptive analytics specifically built for community health plans
- Explainable AI that reveals the 'why' behind member health risks
- Incorporates social determinants of health (SDOH) data for 2x better predictive performance
- Priority Pathways identifies exactly which members need attention now
- Impact Blueprints provide resource-aware action plans scaled to existing capabilities
- Barrier Breakdown reveals real obstacles like transportation and food access issues
- Built by former MCO operators with decades of hands-on health plan experience
- Improves quality scores including HEDIS, STAR, and CAHPS metrics
- Identifies members at risk for COPD, depression, hypertension, and obesity
- Creates actionable micro-cohorts for targeted interventions
- Integrates with existing healthcare systems and data sources
- Enables earlier and more precise member engagement
- Reduces healthcare costs by identifying emerging cost individuals early
- Analytics-as-a-service model adds to existing analytics team capabilities
- Cluster members into unique groups based on multiple factors like race, age, language, geography
Siftwell Analytics, Inc. cons
- Only serves community health plans, not commercial or Medicare Advantage plans
- Limited geographic availability - only operates in 4 states currently
- No publicly available pricing information or free tier
- Requires access to claims data, HRAs, and call center data from plans
- Focus limited to 4 major conditions (COPD, depression, hypertension, obesity)
- New company founded in 2022 with limited track record
- Small team of only 5 employees
- Must contact sales directly for pricing and demo, no self-service option
Frequently asked questions about Siftwell Analytics, Inc.
What is Siftwell Analytics?
Siftwell is an AI-powered prescriptive analytics platform that helps community health plans identify members at risk of developing chronic conditions and comorbidities. It combines artificial intelligence, machine learning, and causal inference with managed care expertise to deliver actionable insights revealing the 'WHO,' 'WHY,' and 'WHAT to do about it' for member health risks.
Who is Siftwell for?
Siftwell is specifically designed for community health plans seeking to improve member outcomes, reduce healthcare costs, and optimize care management. It serves population health, quality teams, and marketing teams at community-oriented Medicaid health plans.
How is Siftwell different from predictive analytics tools?
Unlike traditional predictive analytics that only provide high-level risk stratification and generic risk scores, Siftwell provides prescriptive analytics that tells plans who to focus on, why they're at risk, and specifically what interventions to take. It adds 2x predictive performance by incorporating social determinants of health data.
What data does Siftwell use?
Siftwell ingests standard and non-standard data including claims, eligibility, HEDIS/CAHPS/HOS metrics, health risk assessments (HRAs), call center data, and social determinants of health (SDOH) data such as access to food, transportation, housing, and employment.
What conditions does Siftwell focus on?
Currently, Siftwell focuses on four major conditions: COPD, depression, hypertension, and obesity. The company plans to address more areas of population health in the future.
What is the Pegasus Dashboard?
The Pegasus Dashboard is Siftwell's applied analytics platform that ingests claims, eligibility, HEDIS/CAHPS/HOS, HRAs, and SDOH data to provide actionable insights. It includes Priority Pathways, Impact Blueprints, and Barrier Breakdown features for care management.
Which states does Siftwell operate in?
Siftwell currently operates in four states: Idaho, Montana, Wyoming, and North Carolina. The company has plans to expand into New Jersey and Arizona.
Who founded Siftwell Analytics?
Siftwell was co-founded in 2022 by Trey Sutten (CEO), Chuck Hollowell (General Counsel), and Eben Esterhuizen. All three are former health plan operators with decades of hands-on MCO operations expertise in managed care.
How much funding has Siftwell raised?
Siftwell has raised $7.51M total, including a $5.8M first venture capital funding round in 2024 led by AlleyCorp, Arkin Digital Health, Tau Ventures, and The Charlotte Fund. A $3.5M seed funding was also secured.
How do I get pricing or request a demo?
Contact CEO and Co-Founder Trey Sutten directly at [email protected] or call 202-569-9674. The company is based at 1235 East Blvd, Suite E, PMB 1622, Charlotte, NC 28203. There is no self-service signup or publicly listed pricing.