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.

Who We Help: Providers and Payors

I’m a Provider

I’m a Payor

Benefit from our comprehensive analytics solutions focused on value-based contract management.

Reduce health disparities and optimize resource use with AI models

Our machine learning models use captured and self-reported demographic and social factors plus health-related needs and clinical diagnoses to predict compliance with measure-defined care. Prioritize interventions to focus resource deployment and improve health equity.

Discover care gaps and eliminate avoidable utilization

Promptly identify and remedy suboptimal HEDIS and other value-based care measures’ performance at provider, population and individual levels with a payor-provider shared view of current data.

Address chronic conditions for proactive care and enhanced health outcomes

Provide proactive care based on risk prediction or early diagnosis for maximized contract performance, including medical cost management, fair payment and improved health outcomes.

Redefine decision-making and affect cost-saving change

Identify low-cost, high-value care options, top-performing physicians and optimal workflows to implement best practices across contracts.

Evolve from being reactive to proactive

Leverage Gray Matter’s business solutions to turn readily available performance information and data-driven insights into action.

We create one secure dataset to bring everyone together

We enable collaboration of payors and providers with holistic shared data — beyond clinical records and policy claims — and multiple value-based contracts at the measure level.

Trusted by:

AHIP Affiliate Organization Member 2025
AICPA SOC for Service Organizations
MY 2024 Certified HEDIS
Case Study from Gray Matter Analytics

Leading Blue Plan Prioritizes Behavioral Health Services

Health solutions innovator alleviates member crises and high-cost care with predictive analytics.

CoreTechs® Solutions

Turn insights into action with our secure data approach. Secure analytics solutions provide actionable insights that promote higher quality care, reduced cost of care and improved health outcomes.

Easily view insights across all your contracts — understanding value, identifying high-impact revenue opportunities and recognizing risks for mitigation.

Value-Based Contract Insights

  • 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.

Provider Insights

  • 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.

Population Insights

  • 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.

AllHealth Network