Network Composition & Care Delivery - CertilyticsNetwork Composition & Care Delivery - Certilytics

AI-powered Data & predictive analytics for

Network Composition &
Care Delivery Optimization

Use network and provider-level insights to evaluate treatment patterns, optimize networks, and improve cost and health outcomes.

Use Cases

Network and Provider-level Performance Evaluation

Certilytics offers more in-depth treatment and provider performance insights to help healthcare organizations build top performing networks that are not only cost-effective, but outcome focused.

  • Identify physicians who are ineffectively treating patients and driving up costs
  • Build networks of physicians who have effective treatment practices
  • Better manage total cost of care strategies
  • Improve clinical outcomes and reduce healthcare costs for all

 

Features

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1,000+ Predictive Models

A library of 1,000+ clinical, financial and behavioral predictive models focused on identifying future risk and opportunities for improving clinical outcomes and lowering costs.

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Proprietary Patient
Attribution Model

A unique approach for attributing primary and specialty care using member-level data points to more accurately pinpoint the physician who is primarily responsible for the care being provided.

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A New Approach to
Provider Scoring

Provider Practice GPT® is an award-winning GenAI model offering a transformational mechanism for evaluating providers by predicting detailed patient care pathways and measuring provider treatment deviation.

Who We Help

We're supporting some of the country's largest and most important healthcare organizations use innovative and game-changing AI approaches to build high-performing and quality provider networks. Find out more.

Certilytics News & Insights

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GenAI in Action: A New Three-Dimensional Approach for Measuring Provider Performance

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Top 3 Questions Our AI and Healthcare Experts Were Asked at HLTH USA

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Weighing Your Data & Analytics Platform Options

Are you ready to use AI-driven approaches to improve network quality and care delivery?

Schedule a 15-minute introduction call, 30-minute overview of our solutions or a 90-minute demo