Ground-breaking analytical work.

The key to improving the outcomes for health plan participants involves greater abilities to predict the future of an individual’s health care needs, and how they will behave in response to their interaction with the health care system.

Certilytics, Inc. gathers, assembles and enriches disparate data to give unique insight to risk management, profiling, population health and management, and financial analysis.

Provider Profiling

Find the combination of treatments and services that can lead to better patient, provider, and economic outcomes.

Population Health

Measure and track the unique health, behavioral and lifestyle risks that drive a given population’s costs.

Financial Forecasting

Understand individual patient attributes and their contribution to financial results.

Payment Integrity

Integrates technology, analytics, nurse auditors and case managers to provide a holistic payment integrity solution.