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Today, our solutions are helping healthcare organizations:

Unify and add power to their data

Predict emerging clinical and financial risk

Optimize programs and strategies to lower costs and improve outcomes

Measure results and demonstrate value

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Certilytics for Health Systems

Maximize Your Impact on Lowering Costs, Improving Care

How We're Helping Health Systems Succeed

Texas-based MCO Adopts Predictive Risk Stratification Strategies

This Texas-based Medicaid Managed Care Organization (MCO) provides care to under served communities. As a result, the people they care for face more costly and unique health risks and can be harder to influence through outreach strategies. To be more proactive and strategic in its efforts to improve clinical and financial outcomes, the MCO chose Certilytics because of our AI- and data-driven predictive risk stratification solutions and our ability to build custom models including, sDOH and asthma.

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Our Approach to More Efficient,
Affordable Healthcare

Our Approach to More Efficient, Affordable Healthcare

Build Clinical Programs Based on Your Population.
Improve Program Participation.

Adopt a future-focused approach by using Certilytics library of 1,000+ clinical, financial and behavioral predictive risk scores to identify future risks and opportunity to improve outcomes and lower costs based on the population you serve.

Use the Opportunity Analyzer to choose the right clinical programs and strategies for your organization by understanding in dollars the future impact of these programs.

Be confident your value-based strategies are reaching those patients who are most likely to modify their behavior and improve their health using Certilytics’ member-level Target Index. This approach allows you to maximize your outreach and streamline operational and clinical resource efficiency.

Assess and Benchmark the impact of Your Programs.

Calculate the total realized cost savings of your specific program’s impact on improving outcomes and generating financial cost savings using Certilytics Impact Analyzer – an AI-powered program performance evaluation tool.

Go beyond participation metrics and improve your strategies because you will know exactly which value-based care programs are driving change – improving outcomes and lowering costs for your patients and your organization.

Understand the impact and performance of your strategies compared to the healthcare industry as a whole by using Certilytics’ 3rd party benchmarking data.

Evaluate Provider Performance.
Improve Treatment pathways.

Certilytics proprietary Provider Practice GPT® offers a new approach for evaluating providers and building the best networks by accounting for nuances in patient context to help predict patient pathways and measure provider treatment deviation.

Use Certilytics’ Network Optimizer to assess the cost and quality of your provider networks, uncover opportunities for reducing expenses, and enhance preventative care strategies to avoid high costs later on.