Predictive analytic companies have been latching on to the idea of “impactability” and it is masking the intent of the term and overstating the real capabilities of predictive analytic solutions. The idea behind “impactability” is this: there are patients whose outcomes can be changed with the right intervention and there are patients whose outcomes can’t be changed no matter what you do. This isn’t about caregiving. Clinicians should provide the best care to all patients regardless of the outcome. This is about focusing the right actions to the exact patients who can benefit.