We had a great week at HLTH USA in Las Vegas! With our booth located in the AI Pavilion our team had the opportunity to talk with healthcare leaders across the industry who are exploring how AI-driven solutions can more quickly help their organizations improve outcomes and make healthcare more affordable for all.
As people slowed down and read “Achieve Your Total Cost of Care Goals with AI-driven Predictive Analytics” displayed at our booth or saw a demo of our solutions, there were a few questions that our AI and healthcare experts found themselves answering quite often. So, we thought we’d share our answers with you.
Question #1: What are your AI solutions predicting?
At Certilytics we have built our healthcare-centered solutions to help healthcare leaders go from data to action faster. We do more than just predict future clinical outcomes; we also identify who has the most modifiable risk in dollars and who is most likely to engage in clinical outreach strategies and intervention programs.
With these insights our customers are able to more quickly:
- Identify the largest opportunities for improving healthcare outcomes because they can assess the financial impact clinical programs and strategies could have on a population or an individual
- Direct their financial and clinical resources to individuals who are most likely to take steps towards improving their health
Customers we work with have used our predictive analytics to help drive hundreds of dollars per member per year in health management value and opportunity.
Question #2: How are you using AI in your solutions?
AI is foundational to all our solutions. We started working with large and complex healthcare organization more than 10 years ago and immediately saw the opportunity to bring the latest in AI to their healthcare datasets to drive more efficient and affordable healthcare.
BrainstormAI® is Certilytics’ home-grown ML platform, developed to facilitate model training, QA, deployment, and maintenance at scale. It was built specifically for healthcare and to encompass the entire model lifecycle.
With this foundation, our solutions are using AI to predict member financial, clinical, and behavioral risks, validate claims data, and measure the ROI of clinical programs.
Question #3: Do you offer any solutions to measure provider or network performance?
Yes, we do! Certilytics award winning Provider Practice GPT, is our innovative three dimensional approach to how GenAI and language models can be leveraged to reduce costs and increase provider accountability and efficacy. To accomplish this, Provider Practice GPT builds a sophisticated internal model of treatment pathways using GenAI, which can take member context into account.
With these insights, healthcare organizations are:
- Identifying physicians who are ineffectively treating patients and driving up costs.
- Building networks of physicians who have effective treatment practices.
- Better managing their value-based care strategies.
- Improving clinical outcomes and reducing healthcare costs for all.
To learn more about this new approach, read our white paper – Gen AI in Action: A New Three-Dimensional Approach for Measuring Provider Performance, Including the Use of GPT for Provider Practice Deviation Analysis
If you’re interested in learning more about our AI-driven predictive analytic platform and solutions, schedule a meeting with our team.
