Maximize Your Potential with Gray Matter’s Analytics Solutions
Improve holistic health & preventive care
Make primary and preventive care work smarter with quality performance programs aligned to value-based care goals. Leverage advanced analytics to improve intervention effectiveness so chronic diseases are averted or managed effectively.
Drive health equity on the community level
Inform decisions with comprehensive data. Use actionable insights to strategically and sustainably improve the health of vulnerable communities and report patient health and satisfaction to grant funders, charitable investors and other partners.
Institutionalize efficiency & reduce waste
Quickly identify areas for improvement, optimize care delivery and reduce waste. Achieve key metrics using data-driven insights, integrated into your workflows. Negotiate and manage value-based contracts with payors, informed by comprehensive data on medical spend for populations at risk or using high-cost, low-value services.
Strengthen provider-payor collaboration for value-based care
Access a consolidated view of utilization, quality and cost-of-care measures to inform network management and physician decisions. Highlight trends in measure performance, and prioritize measures to focus on areas that need course correction. View open gaps in care by payor contract.
Stabilize value-based payment & boost financial outcomes
Identify and drill down into cost saving opportunities related to in- and out-of-network utilization, avoidable utilization, appropriate site-of-care usage and more. Understand medical spend for population cohorts, identify cost of care across practices, as well as practice and provider cost performance.
CoreTechs® Solutions: Elevate Healthcare Outcomes with Secure Analytics
Elevate healthcare outcomes with secure analytics solutions and cutting-edge technology.
Reduce hurdles in implementing strategies and analyzing different measures across value-based contracts. Uncover hidden value, prioritize revenue-generating opportunities and mitigatepotential risks.
- Measures performance tracking: View and monitor performance and financial opportunity per contract plus likelihood for success on individual measures.
- Contract-specific analytics: Understand each measure’s impact on financial opportunity.
- Active and past contract displays: Compare expired to current contract performance to address negative trends and inform measure and target negotiations in future contracts.
- Reporting and export functionality: Easily export key data to effectively communicate performance to stakeholders.
- Role-related insights: Enable care coordinators to prioritize patients for outreach and design patient lists and reports at the measure level, based on measure nonadherence, demographics and gaps in care.
Drill down into practices and providers to identify cost-reduction potential and optimize network utilization across the care continuum.
- Outlier and negative cost trend identification: Key areas may be related to cost increase anomalies, avoidable emergency department or in-patient utilization, hospital readmissions, out-of-network care, overuse of high-cost sites of care and unnecessary specialty care or advanced imaging.
- Cost saving approximation: Learn where to launch cost controls. Understand performance and cost-of-care trends to inform outreach, intervention and service delivery.
- HEDIS measure tracking: View and monitor HEDIS measure performance in near real-time to identify areas for intervention, improvement and adjustment. (CoreTechs® is not a HEDIS reporting solution.)
- Goal tracking and benchmarking: Set performance goals and compare performance against industry benchmarks to measure progress and identify areas for improvement.
- Alerts and notifications: Schedule alerts and notifications to stay on top of performance issues and trigger actions to address them.
Prevent and manage health risks with data-driven insights. Target high-risk populations, understand contributing factors and prioritize interventions.
- Secure data sharing: Seamlessly collaborate with payors to capture part of the incentives they receive from CMS. State Medicaid agencies and commercial insurers in value-based contracts are expected to reduce unnecessary hospitalizations and potentially preventable conditions.
- Population health management: Track and manage population health at the individual patient, provider, practice and population levels, then target interventions and resources to those who need it most.
- Care mangement monitoring: Ensure patients with acute or chronic conditions are being managed well in outpatient settings and not incurring avoidable inpatient costs. For areas where inpatient stays are higher than expected, explore comorbidity, geographic, demographic, health equity and social determinants of health factors to support remediation.
- Predictive analytics: Use advanced analytics to identify high-risk patients before they require costly interventions or hospital admissions. A proactive approach can translate into substantial medical cost savings.
- Machine learning and AI: CoreTechs® uses AI to curate and optimize patient outreach based on financial performance, risk mitigation and potential for contract performance improvement.
Trusted by:
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.
