OPTIMIZE PERFORMANCE

of providers and value-based contracts 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.

I’m a Provider

I’m a Payor

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

Reduce health disparities

Use captured and self-reported demographic and social factors plus health-related needs to improve health equity.

Discover care gaps and eliminate avoidable utilization

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

Address chronic conditions

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

Increase medical cost-savings

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.

Bring everyone to one secure data source

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® Solutions

Secure analytics provide actionable insights that promote higher quality care, reduce cost of care and improve health outcomes.

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

Contract Insights

  • Manage and track all your value-based contracts in one place.
  • Understand and report on key performance indicators across all value-based contracts or per alternative payment model.
  • Prioritize action to optimize performance and maximize return on investment.

Get real-time data on the care received by individuals enrolled in Medicaid, Medicare and commercial health plans, including HEDIS measure performance relative to set goals.

Performance 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 to identify and 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 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