TAKE CONTROL
of value-based contracts and performance management using data analytics
Through our analytics solutions, Gray Matter empowers payors and providers to optimize the quality, equity and cost of care.
Monitor and manage value-based care performance to maximize medical cost savings and revenue in commercial and government contracts.
Trusted by:
Easily view insights across all your contracts — understanding value, identifying high-impact revenue opportunities and recognizing risks for mitigation.
- Manage and track all your value-based contracts in one place.
- Understand and report on key performance indicators across collective and individual value-based contracts.
- Prioritize action to optimize performance and maximize return on investment.
Get real-time data on the care recieved by individuals enrolled in Medicaid, Medicare and commercial health plans, including HEDIS measure performance relative to set goals.
- Easily view how many individuals and events qualify for your HEDIS measures.
- Enable various care stakeholders to track performance relevant to their roles to promote targeted, accountable action.
- Drill down to population or provider levels for details like avoidable hospitalizations and emergency department visits and monitor high-risk providers and individuals.
Use data target high-risk populations based on criteria such as health conditions and clinical encounters.
- Understand and take ownership of your population data with an easy-to-use tool.
- Use segmentation create high-risk populations for interventions and outreach.
- Build population intervention lists based on social determinants, race, ethnicity, demographics, healthcare encounters and more.
I’ve looked at several different tools, and CoreTechs® is the only one that brings in social determinants of health, contract management and population insights — everything we need to be able to manage contract and follow our patients to see where they are slipping through the cracks.
Gray Matter showed us how we could reduce manual referrals and accelerate care for patients with machine learning that identifies patients who require a referral based on clinical conditions and eligibility information.
Based on the reputation of the management team at Gray Matter Analytics and their ability to demonstrate their understanding of physician performance/value-based care, we decided to become their first CoreTechs® customer. The proof of concept is continuing, and we have very high expectations on the results.
CoreTechs® brought to the surface chronic conditions like diabetes that we had not coded. From that, we learned how to capture and document risk-adjusted factors for shared savings contracts and patient enrollment in disease management programs.
We were at a loss for why our members were seeing providers outside of our network. Gray Matter gave us the analytic tools to understand who would seek an external specialist, when and why. We learned the best points along the care continuum to intervene and even the dollars at risk for each member’s out-of-network choice.
Gray Matter Analytics developed models to help us predict members at risk of postpartum depression so we could proactively offer behavioral health services and take better care of our moms and their families while reducing costs.
Data-driven insights from CoreTechs® guided physician education, code capture, patient outreach and pre-visit planning to help us meet the quality, care and cost expectations of the Medicare Shared Savings Program.
Our team was stretched thin. Gray Matter became our advanced analytics partner and helped us with important work with analytical models and capabilities in CoreTechs® that would have taken years for us to develop on our own.
A lot of times there’s a disconnect between the provider and the payor. With Gray Matter Analytics, we’re looking at the same data.
