Mobilize your data
Gray Matter’s CoreTechs® Analytics Solutions empower providers to optimize value-based contract management and performance.
Maximize Your Potential with Gray Matter’s Analytics Solutions
Contract Insights - Mitigate risk & unlock revenue opportunities
Reduce hurdles in implementing strategies and analyzing different measures across value-based contracts. Uncover hidden value, prioritize revenue-generating opportunities and mitigate potential 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 non-adherence, demographics and gaps in care.
Performance Insights - Manage cost & track quality metrics
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.
Population Insights - Target high-risk groups to improve outcomes
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 management 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.
