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Desha.ai for insurers & payers
Underwrite the behaviour that
drives outcomes.
We measure whether members actually take their medicines, in the real world, with explicit consent. That becomes a portable health score you can reward, plus a consented evidence base for risk and outcomes.
Premium reward eligible modelled
The opportunity
Non-adherence is an
avoidable cost driver.
When members don't take their medicines as prescribed, outcomes worsen and costs rise. Most of it is preventable.
of chronic medicines aren't taken as prescribed.
preventable deaths a year in the US linked to non-adherence.
up to, in avoidable annual cost across the US health system.
Figures from Pharmacy Times, NEHI and the Annals of Internal Medicine.
The HRS credential
A portable, consent-based health score.
The Health Responsibility Score (100 to 1000) behaves like a credit score for health. It's built from real medication behaviour, not self-report. With the member's explicit permission, it becomes a risk-relevant, rewardable signal.
Five weighted components
For insurers & payers
Reward adherence. Stratify risk. Improve outcomes.
HRS-linked premiums & rewards
Reward adherent members with premium credits or perks tied to their HRS.
Risk stratification & outcomes-based contracting
Consented real-world adherence & persistence as model inputs.
Member engagement & retention
Multi-channel reminders + AI voice calls in 21 languages keep members on therapy.
Whole-family coverage
One account manages a household's medicines.
HRS-linked premiums/rewards and RWE-based contracting are modelled / go-to-market concepts, not shipped features. Member engagement and whole-family coverage are live in the Desha platform today.
Consented real-world evidence
Consented adherence data, with real value.
It's de-identified, consent-based and zero-PII by design. Population-scale evidence on how members actually take their medicines, across languages and regions.
Risk stratification & outcomes-based contracting inputs.
Real-world adherence & persistence signals.
Population adherence trends across languages & regions.
Always consent-based, de-identified and zero-PII by design. Data licensing is a modelled / go-to-market offering, not a shipped feature.
How you connect
Live on standards, not bespoke glue.
Member consent
Members grant a specific, revocable permission. Nothing flows without it.
Integrate via FHIR
HL7 FHIR R4 with OAuth2 / SMART-on-FHIR. Standards-based, with no custom plumbing.
Measure the lift
Track adherence, engagement and outcomes for the consented cohort.
Trust is the product
Member-controlled. Consent-first.
Member opts in
A specific, named, revocable permission, granted by the member and never assumed.
Every access logged
HIPAA-oriented activity log, so every data access is auditable.
Zero-PII by design
Identity is segregated and tokenised; analytics & shared evidence carry no personal identifiers.
Standards, not promises
GDPR and HIPAA self-assessed, BAA available, AES-256 encryption, zero-PII analytics.
Our posture on each framework is documented in the Desha Trust Center.
Why now
Every connection makes the network worth more.
Desha already connects patients, families and clinicians on one consented graph; pharmacy, labs and payers are the next nodes. Joining early means lower acquisition cost and a defensible position as the network compounds.
Partner with us
Reward the members who
stay on therapy.
Run a consented pilot cohort with us. Connect real adherence behaviour, and measure the lift in engagement, persistence and outcomes together.