of your value-based contracts and performance management using data analytics

Gray Matter empowers payors and providers with analytics solutions for value-based care. Monitor and manage measures performance to maximize revenue in commercial and government contracts and improve health outcomes as you shift from fee-for-service to value-based care.

I’m a Provider

I’m a Payor

Benefit from our comprehensive analytics solutions focused on value-based care

Stay ahead with near real-time data

Monitor contract performance and prioritize initiatives that minimize penalties and maximize upscale opportunities.

Improve community health by addressing disease burdens and SDoH

Use analytics to better manage health outcomes, measure social return on investment and reduce health disparities.

Understand contract, provider and population performance based on a defined set of metrics and measures

Get real-time data on HEDIS measures and performance relative to goals, including measures at the provider, population and individual levels for more timely interventions and responses.

Identify where to take action to improve healthcare costs and quality

Leverage our analytics to accurately represent the risk of your population to ensure fair payment and support efforts to reduce avoidable utilization.

Evolve from being reactive to proactive

Gray Matter provides technology-powered business solutions that enable anyone in your organization to effectively turn insights into action. A health plan can provision providers access to the exact data it is tracking for physician performance for quick course corrections in care.

One secure source 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 measures level.

Trusted by:

AHIP 2023 Affiliate Organization Member
DCHA Associate Member
Association for Community Affiliated Plans
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® Solution

A secure analytics solution that provides actionable insights that lead to higher quality care at a lower cost.

Easily view insights across multiple 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 multiple value-based contracts.
  • Identify gaps and inconsistencies in care delivery that prevent better outcomes at lower costs.
Get real-time data on the care your population is receiving, including HEDIS measure performance relative to set goals.

Provider Insights

  • Easily view how many individuals and events qualify for your HEDIS measures.
  • Understand what factors are influencing performance in order to take appropriate action.
  • Drill down into individual healthcare practices or populations for details including social determinants, race, ethnicity, demographics, ZIP codes and health care encounters.
Use data to identify and target high-risk populations based on different factors and drivers.

Population Insights

  • Understand and take ownership of your population data with an easy-to-use tool.
  • Use segmentation to hone in on 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

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.

Novant Health

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.

Henry Ford Health System

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.

Northwestern Memorial Healthcare

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.

Novant Health

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.

Horizon Blue Cross Blue Shield of New Jersey

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.

Northwestern Memorial Healthcare

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.

Horizon Blue Cross Blue Shield of New Jersey

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.

AllHealth Network