Predictive Analytics for Health Plans Predictive Analytics for Health Plans

Predictive Analytics for
Health Plans

Grow your book of business with forward-looking, value-based insights


Unify your data with a modern, HITRUST-certified platform that integrates with your existing technologies, workflows, and tools


Make the most of your data with built-in clinical episode grouping, HEDIS quality reporting, actuarial service categorization, and more


Adopt powerful predictive models to optimize the way you intervene with members, increase engagement, and change the behaviors that matter


Quickly identify which providers offer the best care, control costs, and have the most effective referral patterns


Use data to set yourself apart from the competition by showing clients how you are uniquely positioned to help control avoidable costs


Quantify the financial impact of clinical and digital programs to demonstrate ROI and enforce performance guarantees


Make sense of MRP transparency data sets and access customized benchmark reporting of competitor health plan discounts in key markets/geographies

Differentiate yourself in a value-focused ecosystem

Read our white paper to learn 6 proven best practices for forward-thinking health plans and see how our clients used analytics to save $200 PMPY.

case study image
Health Plans PDF Download (2024)

You may opt-out of Certilytics email list at any time using the unsubscribe link provided in all email communications. We are committed to protecting your information. You can find full details of how we use your information in our Privacy Policy.

Actionable intelligence with AI-powered data warehousing

actionable intelligence mobile

Connect, validate, and cleanse disparate data feeds on our HITRUST-certified platform, built with a flexible, modern tech stack that supercharges your data with thousands of clinical and financial enrichments including NCQA-certified HEDIS measures and CORE Pathways, the most advanced episode grouper on the market.

Make better decisions, faster.

Pre-built reports and self-service analytics at your fingertips


Download our population
health management brochure

What Sets
Certilytics Apart

card image

Intuitive Insights

Whether you’re looking for population trends or member level analyses, our easy-to-understand dashboards and self-serve data exploration tools will simplify and accelerate your decision-making

card image

Built For Scale And Flexibility

Unify your data on one modern, flexible platform that gives you a comprehensive view of your population with click-through capabilities down to the member or claim-line level

card image

Lightning Fast

We process 30M+ member lives per week to ensure our customers have the real-time insights they need to make smarter decisions, faster

card image

Constantly Evolving

We keep you at the forefront of proactive, AI-powered decision-making through an iterative approach to product design and innovation

card image

Invested In Customer Success

You’ll love working with our team of experts to connect and understand your data. Our data scientists, actuaries, clinicians, and developers are committed to answering your questions, getting you up to speed on our reports and dashboards, helping you transform the way you do business, and ensuring you and your clients get real value from our solutions

card image

Forward-looking Intelligence

Our reporting looks forward, not backward, with market-leading predictive models that show you not just what’s driving cost—but what’s driving avoidable cost

Are you ready to accelerate
your transition to value?

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