Cortex Analytics
Spearheading Data Intelligence and Analytics in Healthcare

With the increasing availability of vast amounts of data, the healthcare industry is fast realizing the importance of supplementing structured administrative data from medical claims, pharmacy transactions, laboratory results, etc. with data from electronic health records (EHRs) and other clinical sources to maintain an efficient patient care workflow, efficient and cost-effective administrative processes, and to improve payer transparency. This is leading most organizations to digitize their processes and drive the adoption of artificial intelligence (AI) and machine learning (ML) into their systems. But with a vast amount of fragmented and error-prone data located in silos, healthcare providers often struggle to implement AI and ML successfully and extract actionable insights from their datasets. This challenge combined with the current shortage of highly-skilled data scientists—who can create data applications capable of enhancing payer transparency—has become a persistent problem in the U.S. healthcare sector.

Cortex Analytics answers with its healthcare-driven data analytics portfolio that applies powerful extract-transform-load (ETL) capabilities to structured and unstructured administrative and clinical data. Data is ingested, edited, aggregated, normalized, and standardized with third-party ontologies (free and licensed) and loaded into a proprietary data schema in an enterprise-scale data warehouse. The cloud-native Cortex Analytics CortexETL product offers an automated self-service data loading process deployable in either SaaS or API configurations to enable ETL execution for its clients.

“Cortex Analytics is a Data Science-As-A-Service platform that provides comprehensive, accurate, and secure data management solutions to healthcare organizations, allowing them to derive insights that impact their patient care strategies and campaigns, without requiring them to set up a dedicated data science department, says Richard Lieberman, CEO of Cortex Analytics.

Using its Data-Science-As-A-Service approach, Cortex Analytics enables data integrity testing and data loading processes to isolate insights for various facets of the healthcare arena. These include health plan providers or payers, commercial insurers, pharmacies, government-regulated health plans like Medicaid, Medicare-advantage, the ACA Marketplaces, and accountable care organizations (ACOs).

Concurrently, Cortex Analytics leverages its risk adjustment, quality improvement, and predictive analytics prowess to help healthcare organizations alleviate internal time and resource constraints.

CortexRisk measures patients’ illness burden, producing risk adjustment scores to predict future healthcare resource consumption and identifies suspect gaps in administrative claims data and clinical documentation. CortexRisk operates on risk adjustment models for Medicare-Advantage, Medicare Shared Savings Plans, the ACO REACH provider groups, ACA Marketplace issuers, and risk adjustment models applicable to most Medicaid Managed Care Organizations. CortexRisk’s documentation gap closure capabilities find potential members whose chronic conditions may not have been identified correctly and identifies risk exposure to highlight chronic conditions for which there appears to be insufficient documentation. The suspecting algorithms also identify codes that may represent out-of-compliance coding that can place a payer in financial and legal jeopardy.

Within its digital patient engagement, the company provides a product called CortexHorizons. The tool provides relevant data on chronic conditions, issues not addressed, pharmacy needs, quality indicators, and big-picture facets such as personal healthcare plans and social determinants of health to support informal caregivers. It is integrated directly into the Cortex Analytics enterprise data warehouse but also works as a standalone smartphone app, helping sick or older people at home gain the best care. All these product modules are organically built into its platform to serve a single purpose—providing robust data management solutions.

With its unparalleled products and steadfast dedication, Cortex Analytics has been consistently triumphant in helping healthcare organizations tackle their data science and analytics challenges. With its agile technology and high-level management consulting capabilities by industry experts, Cortex Analytics helps clients meet the time-sensitive and dynamic needs of leadership teams, clinicians, and patients.

Cortex Analytics aims to continue being a premier healthcare software that facilitates better data integrity, value-based care, quality measurement, and risk adjustment while enhancing provider reimbursement processes and overall performance. Above all, the company delivers customizable, comprehensive, and secure healthcare analytics solutions that can support deep learning to enable interoperability between healthcare organizations and help them control their care delivery strategies and patient journeys.