Certilytics

9200 Shelbyville Road, Louisville, Kentucky, 40222, United States All United States companies → — Founded 2014

Healthcare Analytics / BI

Family Medicine Geriatrics Internal Medicine

Population Health Analytics

Bootstrapped/Privately Held (Unfunded)

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Products

Certilytics Risk Scores & Clinical Analytics

Certilytics

Population Health Analytics

Certilytics provides AI-driven predictive analytics, leveraging deep learning and generative AI for risk stratification and clinical analytics to predict high-cost events and enhance clinical outcomes in healthcare.

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About Certilytics

Certilytics is a healthcare AI company that leverages advanced artificial intelligence, including deep learning and generative AI, to provide predictive analytics and actionable insights for organizations across the healthcare ecosystem. Their solutions are designed to help physicians and healthcare systems improve efficiency, enhance patient outcomes, and manage costs more effectively. By unifying disparate healthcare data and applying proprietary AI models, Certilytics enables a forward-looking approach to healthcare management, moving beyond retrospective analysis to predict future risks and opportunities.

For physicians, Certilytics’ platform offers tools to evaluate provider performance, optimize treatment pathways, and build high-performing networks. Their Provider Practice GPT, for instance, uses generative AI to analyze treatment patterns and measure provider deviation, helping to identify effective practices and areas for improvement. The company’s extensive library of over 1,000 predictive models covers clinical, financial, and behavioral risks, allowing for targeted interventions and the development of more effective care and disease management strategies. This focus on data-driven intelligence supports better decision-making in areas such as population health management, risk assessment, and program evaluation, ultimately aiming to make healthcare more affordable and keep people healthier.

Focus Areas

AI-driven predictive analytics deep learning generative AI population health management cost savings outcome improvement data management business intelligence risk measurement benefits management network optimization care delivery ROI measurement identifying at-risk populations improving health intervention targeting guiding healthcare consumers

Business Intelligence

Technology

Cloud-native data processing platform, proprietary Deep Learning and GenAI technologies, BrainstormAI (platform, model library, Studio), CertHLM (Health Language Model), Data Logistics Suite, Fusion BI, HITRUST CSF Certified, SOC 2/Type 2 compliant, open-source technologies, AWS Azure

What Physicians Need to Know

AI-Driven Predictive Analytics

Specializes in proprietary Deep Learning and Generative AI to predict future risk, member behaviors, and health outcomes, offering over 1,000 predictive models.

Population Health Management

Enables identification of at-risk populations, improves health intervention targeting, and guides healthcare consumers toward better decisions, supported by pre-built reports.

Cost Savings & Outcome Improvement

A core focus, with a track record of uncovering over $10 billion in savings for healthcare organizations by making healthcare more affordable and improving health outcomes.

Data Management & Business Intelligence

Offers a HITRUST CSF-certified, scalable, and secure cloud-based data platform processing over 30 million patient lives per week, complemented by flexible BI tools (Fusion BI) for custom data exploration and pre-built dashboards.

Risk Measurement

Provides forward-looking predictive analytics to anticipate and bolster risk forecasting for member behaviors and health factors, enabling proactive strategies.

Network Optimization & Care Delivery

Evaluates provider performance, predicts patient care pathways, measures treatment deviation, and helps build high-performance provider networks for value-based care.

Generative AI & Healthcare LLM

Leverages proprietary Generative AI and a unique healthcare-centric Large Language Model (LLM), CertHLM, built on Meta's Llama model, for conversational AI insights and decision support.

Proprietary Clinical Episode Grouping

Developed CORE Pathways, an AI-powered clinical episode grouper that uses advanced machine learning to standardize claims data and enable predictive analytics for complete episodes of care.

Physician Tip

For physicians, Certilytics stands out by providing AI-driven insights that enhance clinical decision-making and improve patient outcomes. Their predictive analytics help identify at-risk patients earlier, enabling targeted interventions and guiding patients towards more effective, less costly treatment pathways, potentially reducing unnecessary procedures. Tools like Provider Practice GPT allow for the evaluation of provider performance and treatment patterns, supporting the shift towards value-based care. The CertHLM conversational AI tool offers quick access to predictive insights from patient data, streamlining information retrieval and supporting more informed care strategies. By unifying diverse data sources, Certilytics offers a comprehensive view of patient health, empowering physicians to deliver personalized and proactive care.

Certilytics offers flexible integration options, allowing their AI models and enriched data to connect seamlessly with existing tools, applications, and workflows. Their platform is designed to integrate with legacy care management programs and operational databases, ensuring that AI-driven insights are synchronized and actionable within current healthcare ecosystems. Partnerships with companies like Carenet Health and IKS Health further demonstrate their capability to embed predictive analytics into care management platforms and provider workflows, facilitating a smooth transition to more intelligent engagement and coordinated clinical actions.

At a glance

Founded 2014

HQ 9200 Shelbyville Road, Louisville, Kentucky, 40222, United States · United States

CEO Merle A. Ryland

Funding Bootstrapped/Privately Held (Unfunded)

Products 1

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Products by Certilytics

1 product in the directory

Certilytics Risk Scores & Clinical Analytics

Certilytics

Population Health Analytics

Contact for pricing

What the Web Says

Certilytics is a company specializing in AI-driven healthcare intelligence solutions, offering products like CertHLM and CORE Pathways to transform healthcare data into actionable insights for payers, providers, and other partners. Their solutions aim to improve workflows, deliver proactive business insights, and enhance financial decision-making. While there is positive feedback regarding their product's ability to provide valuable insights and excellent customer service, employer reviews suggest some challenges with management support and compensation.

Overall: Mixed

Strengths

Provides valuable, data-driven insights for healthcare organizations.
Excellent customer service and highly engaged team.
Helps identify emerging risks and control spending.
Accelerates analytics processes for faster answers and insights.
Offers a comprehensive product suite with predictive modeling and machine learning.
HIPAA compliant, HITRUST certified, and SOC 2/Type 2 compliant.

Limitations

Some employer reviews indicate a lack of support from upper management.
One employer review suggests management is uninterested in employee career growth and content support.
One employer review mentions being understaffed.
One employer review states pay is not enough for the work.

Based on reviews from: Capterra, Indeed.com, Growjo, PR Newswire, Certilytics Website

Last updated: 2026-08-27

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Press & Coverage

Certilytics Newsroom

Certilytics, Inc. Launches AI Accelerator to Help Healthcare Organizations Operationalize AI and Move from Dashboards to Answers

Certilytics launched its AI Accelerator, a program designed to help healthcare organizations operationalize AI and move from exploratory initiatives to scalable answer intelligence. This program combines answer-ready data, purpose-built AI models, and domain-specific expertise to deliver measurable outcomes in weeks.

2026-06

PR Newswire

Certilytics and IKS Health Bolster Strategic Partnership with New Agentic AI and Expert-in-the-Loop Oversight to Improve Healthcare Workflows and Impact Across the Patient Journey

Certilytics expanded its strategic collaboration with IKS Health, integrating Certilytics' GenAI-powered predictive intelligence and real-time decision support to enhance administrative operations, member engagement, and price transparency. IKS Health will license and integrate Certilytics' BrainstormAI Studio and CertHLM into its Health Agentic Care Enablement Platform.

2026-04

PR Newswire

Certilytics Launches AI-Powered Answers Solution for Real-Time, Expert-level Healthcare Intelligence

Certilytics announced the commercial availability of Certilytics Health Language Model (CertHLM), an agentic, AI-powered interface that provides real-time data intelligence and expert decision support to health organizations. This solution transforms natural language questions into instant, expert-grade answers and reports.

2026-03

Certilytics Newsroom

Certilytics Introduces BrainstormAI Studio, a Tool to Help Healthcare Accelerate its AI-Powered Analytic Capabilities

Certilytics launched BrainstormAI Studio, a guided workspace designed to help healthcare teams accelerate their AI-powered analytic capabilities, enabling them to move from a business question to a working analytic prototype in days.

2026-01

Certilytics Newsroom

Joint Release: Carenet Health Partners with Certilytics for Data Management & Predictive Analytics

Carenet Health announced a new partnership with Certilytics to embed AI-driven data management and predictive analytics into Carenet's Intelligent Engagementu2122 solutions. This collaboration aims to empower clients in the provider, payer, and healthcare technology sectors.

2025-06

Certilytics Newsroom

Certilytics Debuts its New Insights & Advisory Services Offering

Certilytics announced its new Insights & Advisory Services offering, providing customers with collaboration opportunities with Certilytics' AI and healthcare experts to maximize the value of their data. This service includes access to data science experts, custom reporting, and predictive model development.

2025-04

Certilytics Newsroom

Certilytics Announces New Customer Partnership with the Healthcare Purchaser Alliance of Maine

Certilytics partnered with the Healthcare Purchaser Alliance of Maine (HPA), a coalition of employers focused on improving healthcare purchasing value across the state.

2025-05

Certilytics Press Release Archives

Certilytics, Inc. Wins 2024 Artificial Intelligence Excellence Award

Certilytics, Inc. was named a winner in the Business Intelligence Group's Artificial Intelligence Excellence Awards.

2024-03

Frequently Asked Questions

How does Certilytics leverage AI-driven predictive analytics and deep learning to benefit healthcare organizations?

Certilytics utilizes proprietary deep learning and generative AI platforms to transform complex healthcare data into powerful predictive insights. These insights help healthcare leaders identify future risks, avoid high-cost events, and enhance clinical outcomes by providing a nuanced understanding of patient risk beyond traditional methods.

What role does generative AI play in Certilytics' solutions for improving care delivery and provider performance?

Generative AI, such as Certilytics' Provider Practice GPT, is used to evaluate providers by predicting detailed patient care pathways and measuring treatment deviation. This allows healthcare organizations to build top-performing networks, optimize care delivery, and improve clinical outcomes by identifying effective treatment practices.

How do Certilytics' solutions contribute to population health management, cost savings, and outcome improvement?

Certilytics enhances population health management by using predictive models to identify patients at high risk of developing chronic conditions and those most likely to engage with interventions. This proactive approach leads to significant cost savings by shifting utilization from high-cost inpatient admissions to preventive services and improving overall health outcomes.

How does Certilytics handle data management and provide actionable business intelligence, including ROI measurement?

Certilytics' Healthcare Data & Prediction Platform unifies enterprise data into a single source of truth, offering intuitive business intelligence solutions through pre-built dashboards and reports like Fusion BI. The Impact Analyzer, an AI-powered tool, calculates the total realized cost savings and ROI of programs, enabling organizations to validate and optimize their strategies.

How does Certilytics help identify at-risk populations and improve the targeting of health interventions?

Certilytics employs a library of over 1,000 clinical, financial, and behavioral predictive models, along with the Certilytics Health Index (CHI), to stratify patients based on emerging clinical risk, prospective financial risk, and propensity for engagement. This allows for precise targeting of resources to individuals most likely to benefit from interventions, maximizing impact and engagement.

How can Certilytics assist healthcare administrators with network optimization and benefits management?

Certilytics offers tools like the Network Optimizer to evaluate the cost and quality of provider networks, identify opportunities for expense reduction, and enhance preventative care strategies. For benefits management, their solutions help build better benefit strategies, improve employee health, and negotiate reimbursement rates by providing insights into future health risks and program effectiveness.

What are Certilytics' considerations regarding data compliance and security in its AI solutions?

Certilytics builds its AI-driven solutions on a foundation of sound, traditional healthcare logic and rules-based analytics, ensuring insights are compliant and responsible. They emphasize that AI is only effective when built on trusted data and established healthcare expertise, which is critical for making decisions where people's health is on the line.

What is Certilytics' company stability and how do they provide client support and partnerships?

Founded in 2014, Certilytics has a decade-long track record, working with foundational Fortune 25 healthcare organizations and numerous other leading entities. They offer Insights & Advisory Services, providing clients with access to their deep bench of AI and healthcare experts for custom reporting, model development, and maximizing data value.

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