Certilytics for Benefit Advisors

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

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Total Health Management

Create programs based on the future health risks of your customer's population and target those most likely to make a change.

ROI Measurement &
Benchmarking

Validate your program recommendations are making a positive impact on the health of employees and lowering costs.

Network Composition &
Care Delivery

Evaluate the cost and quality of network providers and find areas for improvements.

Network Reimbursement &
Cost Protection

Build reimbursement and cost containment strategies based on the future needs of your customer's employees.

How We're Helping Benefit Advisors Succeed

Fortune 50 Employer Adopts Predictive Analytics to Build Optimal Benefit Plan for Employees

As a leading food and beverage corporation with over 315,000 US-based employees, this Fortune 50 company chose Certilytics’ AI-driven predictive analytic solutions to create a holistic picture of its population’s health as well as understand how its benefit and wellness program offerings were performing and delivering on improving employee health and lowering costs.

Our Approach for More Efficient Affordable Healthcare

Design a Plan Based on Future Risk and Costs.
Boost Program Participation.

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.

 

Assess the Impact of Your Health & Wellness Program Recommendations

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.

Evaluate Provider Performance. Build High Performing Networks.

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.

Negotiate Reimbursement Rates.
Ensure Payment Accuracy.

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.

Benefit Advisor Resources

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Fortune 50 Employer Adopts Predictive Analytics to Build Optimal Benefit Plan for Employees

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A Trusted AI-driven Data & Analytics Partner

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The Advantages of AI to Shift from Reactive to Proactive Benefit Strategies

Are you ready to use AI-driven approaches to build high impact benefit plans?

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