Build Proactive, High Impact Benefit Plans to Improve Total Cost of Care

Shift to an employee-focused approach by using Certilytics library of 1,000+ clinical, financial and behavioral predictive risk scores to identify future risks and opportunity areas for improving outcomes and lowering costs by employee.

Highlight the most common health conditions impacting employee well-being and forecast potential disease onset and their associated costs with the Opportunity Analyzer.

Create a benefit plan recommendation tailored to the specific healthcare needs and risks of your customer’s workforce, as well as make recommendations for programs and strategies with the greatest opportunity for lowering costs.

Identify how likely someone is to engage in a program, with Certilytics’ employee-level Target Index so you can be confident your programs are reaching those employees who are most likely to modify their behavior and improve their health.

Calculate the total realized cost savings associated with each existing program or strategy with Certilytics Impact Analyzer, an AI-powered program performance evaluation tool.

Go beyond vendor participation metrics and improve your benefit plan design recommendations because you will know exactly which health and wellness programs are driving value – improving outcomes and lowering costs for your customers and their employees.

Certiytics proprietary Provider Practice GPT® offers a new approach for evaluating providers and building the best networks by accounting for nuances in patient context to help predict patient pathways and measure provider treatment deviation.

Use Certilytics’ Network Optimizer to evaluate the cost and quality of your provider networks and identify opportunities for reducing expenses. Plus, identify opportunities to enhance preventative care to avoid high costs later on.

Improve your value-based contracting initiatives with Certilytics’ Network Optimizer by looking at local and regional benchmarks to ensure your customers are getting the best value for the services being provided to their employees.

With Certilytics’ Pharmacy Analyzer, you can also look at which conditions and drug types are driving up costs and determine where and when you may need to renegotiate with pharmacies.