Certain embodiments provide methods and systems by which a predictive
modeling provider may provide a client with predictive healthcare
analysis. The predictive healthcare analysis may be used to assess
whether a beneficiary is likely to develop conditions requiring
healthcare. If such conditions are identified, intervention plans are
developed and implemented to address the conditions and reduce healthcare
costs. Certain embodiments provide method and systems by which an
integrated benefits management organization may manage a client's
healthcare program. A claim audit may be performed on healthcare claims
of the client's beneficiaries. A claim repricing process may be used to
discount the healthcare claims of the client's beneficiaries. In at least
certain embodiments, the predictive modeling provider or integrated
benefits management organization are motivated to maximize the reduction
in the client's healthcare costs.