Access to large healthcare data sets to better inform predictive modeling and analytics outputs.
Benchmarking Data
Massive representative data sets to produce cost, utilization and other benchmarks across commercial, Medicare, and Medicaid populations.
De-identified Data Sets
Collections of massive de-identified data sets to inform the training of predictive models and enrich analytic outputs.
MRF/Transparency Data Sets
A consistent data layer linking provider data to the right group practices and health systems, including additional data sets such as COB and provider transparency data.
Supplemental Data
Sets
A comprehensive set of supplemental data for improved predictive modelling, reporting, and benchmarking.
Logically connected data model that automatically connects with and enhances existing customer data systems with advanced healthcare logic to create a single source of truth for the development and operation of AI insights and decision making.
Unified Operational
Data
A single source of truth for all data sets delivered in a standardized operational data layer ready for enterprise reporting and analysis.
CORE Clinical Episode Grouping
A unique approach to episode grouping focused on using AI to predict future health and financial risk.
CORE Quality
Measures
Evaluate clinical quality with NCQA Certified HEDIS measurement, plus create custom measures by program or population.
Actuarial Tags
Organize your data into actuarial service categorizations to support internal and external regulatory financial reporting.
Provider Attribution
A proprietary modelling approach for attributing patients to primary and speciality care providers.
UDS Tags
Claim-line level enrichments, including all logic required by UDS specifications to support file submission and discount optimization.
An unmatched collection of sophisticated GenAI model pipelines ready for calibration to customer data and powering enterprise healthcare processes, operations, analysis, and innovation in days - not years.
All CORE Condition Model
A library of 1,000+ clinical, financial, and behavioural models focused on identifying future risk and opportunities at the individual level.
CORE GPT Clinical Pathways
The use of GenAI techniques to predict the exact clinical pathway a patient will follow based on their distinct characteristics.
Foundational Healthcare
AI Models
The application of unsupervised pre-training with GPT to develop data representations which can be used as the basis for the development of novel predictions.
Opportunity Models
Quantification of the cost savings associated with optimizing modifiable patient outcomes and provider practice patterns.
Provider Practice GPT
Using GenAI and language models to identify physicians who are ineffectively treating patients and driving up costs.
Propensity Models (CAMPR)
Modelling to generate scores in support of causal program performance evaluation and clinical outreach.
CertHLM
(Coming Soon)
A unique healthcare-centric LLM designed to complement existing data integration features such as SQL query and simplify the mechanism for users to quickly find valuable insights in their data.
Member Deep Representations (mDR)
The use of natural language processing (NLP) techniques and deep learning to translate medical history into a foundational ML feature space primed for learning.
Provider Deep Representation (pDR)
The use of natural language processing (NLP) techniques and deep learning to translate provider treatment history into a foundational ML feature space primed for learning.
Claim Deep Representation (cDR)
The use of natural language processing (NLP) techniques and deep learning to encode claims data into a foundational ML feature space primed for learning.
A flexible suite of data storage, connectivity, and visualization tools to quickly synchronize enriched data and AI-insights with operational databases, applications, and workflows.
Cloud Data Warehouse
A scalable and secure data storage solution in a cloud-based data environment designed for the largest data and most complex queries with low-latency.
CertAPI Library
Flexible options for connecting Certilytics model and enriched data into existing tools, applications and workflows.
Fusion BI Toolkit
Package together models, benchmarks, and visualizations to create your own tailored insights through a flexible web-based BI tool with SQL and WYSIWG query building.
CertGPT Interface (Coming Soon)
Directly connect to a unique healthcare-centric LLM designed to complement existing data integration features and simplify the mechanism for users to quickly find valuable insights in their data.
Report Library
A collection of pre-built reports delivering AI-powered Insights to inform population health strategies.
A team of experts who help customers transform their business with powerful AI capabilities. Partner with and have access to data scientists, actuaries, technologists, clinicians and other industry experts who all have over a decade of direct healthcare-AI experience.
Analytics Services
Analyst support for the generation of insights and the configuration and customization of dashboards and reports.
Actuarial Services
Actuarial support for trend forecasting, reserving, underwriting, and financial performance.
GenAI Services
A team of experienced healthcare-focused data scientists to develop custom models, validate existing models, and accelerate the operationalization of GenAI strategies.
Data Operations
Managed data processing services and coordination of source data sets through the Certilytics Healthcare Data & Prediction Platform.
IT Services
IT support for the configuration of various customer platform deployment and configuration requirements, as well as the development of new tools and applications.
Clinical Audit Services
Experienced nurse auditors to drive recoveries while maintaining the integrity of payer-provider relationships.
Staff Augmentation
Complement or extend your team with access to Certilytics' team of data scientist, developers, data engineers, analysts, and more.
Intuitive business intelligence solutions for specific healthcare use cases.
Healthcare Data & Prediction Platform
An "all-in-one platform" for customers seeking a modernized and enhanced AI and analytics ecosystem to support enterprise healthcare decisions making.
Predictive Analytic Enablement
Enabling customers to strengthen their own solutions through access to Certilytics suite of products - a large data portfolio, data enrichment tools, data storage, and over 1,000 predictive models.
AI Health Intelligence Collection
Customized collections of predictive analytic outputs delivered to customers through the Fusion BI toolkit.
Health Plan
Solutions
A scalable and secure data storage solution in a cloud-based data environment designed for the largest data and most complex queries with low-latency.
PBM Solutions
Enhance pharmacy-based clinical management capabilities with AI-generated insights and recommendations around member health and cost to measure its impact across a person’s entire interaction within the healthcare system.
Employer Solutions
Optimize benefit strategies by tracking historic cost & utilization and using AI-driven insights to identify emerging risk and opportunities for modifying outcomes.
Broker & Consultant Solutions
Develop prescriptive strategies to help customers make cost-effective decisions that will improve employee health.
Point Solution Vendor Solutions
Identify prospective management opportunities and evaluate retrospective program performance with advanced ROI analysis.
Provider & Health System Solutions
Evaluate the clinical and financial performance of hospitals, physicians, and integrated-delivery systems for better value-based strategies.
State Government Solutions
Identify those most at risk to inform outreach strategies and deliver better clinical and financial outcomes.
Federal Government Solutions
Understand your population’s future health risks to build more effective programs and better manage outcomes and costs.