Using insurance claims to predict and improve hospitalizations and biologics use in members with inflammatory bowel diseases.

•We used insurance claims to predict IBD-related hospitalizations and biologics use.•Our models usefully predicted both IBD-related hospitalizations and biologics use.•Using topic modeling to identify member subpopulations significantly improved PPV.•With an intervention, our models may improve patient outcomes and insurance savings.•This is a roadmap for how claims data can assist traditional medical decision making.