Certilytics to Debut New Price Transparency Analytics Solution at HIMSS23

Solution to Help Health Plans Unpack MRF Data, Unlock Competitor Intelligence

April 11, 2023

Certilytics, a leading provider of data management and predictive analytics solutions to health plans across the country, will debut its new Price Transparency Analytics solution at the 2023 HIMSS Conference in Chicago.

The company will showcase how its new solution is helping health plans uncover competitor intelligence in the unprecedented amounts of provider reimbursement data now available to them due to the Consolidated Appropriations Act of 2021.

“Price transparency has the potential to upend much of healthcare. But it doesn’t mean it has to interfere with health plans’ value-based goals,” Executive Vice President, Andrew Ottum said. “The first step is making sense of all the data. With our new tool, health plans will know exactly where they stand compared to other plans to help strengthen their negotiating power.”

Having worked with leading health plans for almost a decade, Certilytics’ approach to building its Price Transparency Analytics solution focused on:

  • Creating a consistent data layer for analysis, including adding in additional data sets such as COB and provider transparency data
  • Building reports and analysis that demonstrate competitor network fee schedules and other insights, including both Medicare and client’s reimbursement levels

At HIMSS, Certilytics’ experts will debut the new product during the session (Not So) Transparent: A New Solution for Understanding Health Plan Price Transparency Data on Wednesday, April 19 from 11:15 – 11:35am in the Startup Zone within Innovation Live.

To learn more about Certilytics’ new Price Transparency Analytics solution, download the brochure or visit our website and schedule a meeting.

About Certilytics Inc.

Certilytics is a privately-held company founded in 2014 to bring AI-inspired predictive models to organizations across the healthcare ecosystem, including health plans, providers, biotechnology, pharmaceuticals, large employers and government entities.

Utilizing an organically designed IT processing infrastructure, while also merging machine learning and software engineering, Certilytics has commercialized two distinct data logistics and analytic platforms.

These solutions are managing and extracting value from customers’ legacy data assets to reform existing workflows, processes and decision making - resulting in the use of AI-driven predictive analytics to help customers realize the true potential of their data and turn it into powerful insights.

Media Contact

Alyssa Read, VP of Marketing & Communications

Tel: 518-569-0600

Email: [email protected]