Improve Collaboration
Gray Matter’s analytics solutions equip healthcare payors with tools to improve care and cost savings in value-based care arrangements.
Elevate quality of care & facilitate health equity
Reduce avoidable spend
Monitor care coordinationnalize efficiency and enhance reliability
Evaluate value-based care models
Manage compliance with standards
Contract Insights - Maximize revenue potential
Maximize your revenue potential with contract-level insights — uncover hidden value, prioritize revenue-generating opportunities and mitigate potential risks.
Contract performance management: Analyze the cost impact of current programs and forecast trends in measure performance and quality outcomes to achieve goals across total spend and drive higher engagement.
Contract data integration: Use integrated claims, utilization and related healthcare data to identify and eliminate low-value services and emphasize those that have a greater impact on quality goals and health outcomes.
Configurable contract
visualization: Customize dashboards for easy views of contract performance, trends and improvement opportunities at individual and aggregate levels.
Performance Insights - Monitor provider progress & drive outcomes
Monitor provider progress against goals, stay on top of HEDIS measures and drive improved member outcomes.
Provider performance assessment: Monitor quality and utilization trends to determine whether members are receiving appropriate care.
Provider performance monitoring: Identify drivers of adverse trends and outliers, and partner with providers to develop improvement programs.
Category cost comparison: See year-over-year changes and trends toward or away from goals at the adjusted and unadjusted per member per month rate and for overall medical spend.
Population Insights - Target high-risk groups & prevent health risks
Prevent and manage preventable health risks and data-driven insights — target high-risk populations, understand contributing factors and prioritize interventions.
Member screening and risk stratification: Identify patients for targeted interventions by efficiently analyzing data based on measures, cost, demographics and practice/provider attribution.
Custom communication cohorts: Prioritize high-value patient subgroups for education and management.
Coordinated member engagement reports: Automate ongoing measure adherence monitoring at the member or cohort level.
Gray Matter's CoreTechs gives us the capability to manage provider quality and potential cost-savings in both our Medicaid fee-for-service and managed care populations. The solution provides data-driven insights into claims, clinical, and social needs data, providing a whole-person view, while allowing us to generate scorecards regarding member compliance to our providers.
Stephen Miller
Oklahoma Health Care Authority
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 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 the first CoreTechs customer. The proof of concept is continuing, and we have very high expectations on the results.
Henry Ford Health System