Provider Health Systems

Manage your risk-based contracts with best-in-class data management and predictive analytics.

Achieve Financial Success in Value-Based Care

Certilytics helps providers meet their financial objectives by connecting their data and generating forward-looking predictive insights that enable them to successfully navigate their risk-based reimbursement contracts.

Connect and Enrich Your Data

  • Connect your data by integrating clinical, claims, lab, social determinants and other sources — and supercharge that data to unlock value
  • Adopt a proven, best-in-class, HITRUST CSF®-certified big data and predictive analytics platform to support all your value-based analytic needs

See the Future

  • Predict and act upon avoidable high-cost events such as ER overutilization, opioid abuse, or hospital admission before they occur
  • Identify patients with modifiable gaps in care, and pinpoint the individuals most likely to use and benefit from telehealth and other alternative treatment pathways

Take Action

  • Quantify the dollar values and future health impact of gaps in care and other quality measures so your team can prioritize interventions and match clinicians to the right patients
  • Improve measures of quality such as HEDIS and STARS to achieve performance targets and drive more accurate risk adjustment

Transform Your Business

  • Strengthen your negotiating position with payers with more accurate patient- and population-level risk stratification
  • Accelerate your ability to measure and underwrite risk in the development of your own direct-to-employer products or when partnering with a TPA

Looking to improve your data intelligence to promote better decision-making in the future? Schedule a meeting with our team of experts!

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Improved Methods for Predicting High Cost Claimants by Incorporating Provider Data National Insurer Saves Millions Through AI-Powered Clinical Outreach