Predict the impact of regulations and minimize future disruption while improving member satisfaction and engagement

Advisory Services

Data-driven management services that optimize data and analytics capabilities and organizational infrastructure to support companies’ business objectives and goals.

Data and Management Capabilities

Data and Management Capabilities

Partner with an expert team to develop data and management capabilities to support business priorities and achieve target outcomes.

Holistic Evaluation

Holistic Evaluation

Apply a holistic approach to evaluate an organization enterprise-wide, using data from disparate sources, to determine capabilities objectively.

Gap Identification

Gap Identification

Utilize robust data and analytics capabilities to uncover gaps in clinical performance, operations and care delivery. 


Organizational Needs

Gray Matter Analytics' Advisory Services enable healthcare executives to:

Operational Efficiency

Optimize outcomes and operational efficiency

Payers need to use data to provide insights toward better provider network and member management, influence behaviors and increase member satisfaction and engagement.

Manage Regulatory Uncertainty

Manage regulatory uncertainty

With the dynamic nature of healthcare regulatory controls, payers need to be able to predict the impact of new regulations and minimize future disruption operationally and financially.

Leverage Data & Analytics

Leverage data and analytics to support business decisions

Payers need to optimize their data and analytics capabilities to strengthen member engagement and satisfaction, maximize financial return and improve outcomes.

Advisory Services

Data and Analytics Strategy

The goal is to transform the way organizations conduct business, geared toward delivering significant performance gains. We help organizations develop a robust and insights-driven data and analytics strategy that will ultimately become a major competitive differentiator.

Analytics Organizational Models Design and Implementation

We developed our own organizational models and framework to help healthcare organizations optimize analytics throughout the organization. They help our clients determine how best to organize analytics efforts within the organization and what core analytics processes the organization must support.

Master Data Management Strategy

We help healthcare organizations simplify resource descriptions and provides vocabularies to link contexts by helping them develop an effective Metadata Strategy and unlock the value of their data.

Data and Analytics Architecture

The challenge is to bring the two paradigms together: unified information management and rapid-cycle analytics. We work with healthcare organizations to build or reinforce their data and analytics architecture as this expertise is not usually present in their existing resources.

Data Governance Strategy and Implementation

We partner with healthcare organizations to help them not only develop a triple-aim focused data governance strategy, but also to implement this strategy with minimal disruption to existing operations.

Data and Analytics Maturity Assessment

We partner with healthcare organizations to help them not only develop a triple-aim focused data governance strategy, but also to implement this strategy with minimal disruption to existing operations.


CoreTechs® Analytics Payer Solutions

Provider Engagement

Payer/Provider Collaboration Metrics | Population Health-based Segmentation ACO performance | MACRA Metrics Provider Scorecards/Dashboard

Networks Management

High-Performance Networks Tiered Network Metrics Provider Information Management | Credentialing/Contracting Metrics

Medical Cost & Pharmacy Management

Medical Policy Benchmarking | UM Prior Authorization ROI | Medical Cost Dashboards | CM Program ROI | Formulary Design | Medication Adherence

Payment Integrity

Anomaly Detection | Adjustments & Penalty Prediction | Adjudication Decision Support | Financial Accuracy | FWA Identification | Appeals and Grievances | Home/Host Optimization

 

Quality

Stars Effectiveness and Optimization | HEDIS Effectiveness and Optimization | QBP Tracking

Operations

Claims Analytical Reporting | “Next Best Action” Prediction – Member/Provider Services | Enrollment Tracking | Retro-cancellations | Eligibility Verification | COB, Subrogation

Products & Benefits Design

Performance Metrics | Product Optimization | Product Portfolio Metrics | Value-Based Products | Pricing Metrics | “Quote to Card” Tracking

Consumer & Group

Consumer/Member Segmentation | Self-Insured Group Dashboards | Commercial Client Dashboards