Arbital Health

Healthcare is Complex.

Fragmented data, siloed analytics, non-standard risk contracting, and difficulty in measuring performance all limit the impact of value-based care. We are connecting the industry through data, tools, transparency, and expertise to simplify and standardize outcomes-based contracts. 

STREAMLINING OUTCOMES-BASED CARE

Innovators in Value-Based Care Solutions

As a neutral third-party, Arbital Health leverages its data science and advanced platform capabilities with specialized actuarial expertise to support stakeholders throughout every stage of risk contracting. From initial contract design to interim adjudication and final reconciliation, we are the trusted partner to organizations of all sizes and stages to help implement, measure, and grow value-based and outcomes-based programs . 

Arbital Health is the trusted, neutral third party driving the growth and transformation of value-based care, boasting more than 500 adjudicated contracts over the past 12 months across various disease verticals and lines of business, from Medicare to Commercial Employers.

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IMPROVED OUTCOMES & REDUCED COSTS

Drive Cost Savings To Expand Your Business

In healthcare, outcomes matter. The disconnect between incentives and outcomes is the biggest challenge facing healthcare today. We are changing that. Our technology and white-glove actuarial services demonstrate value-based care model growth across all lines of business:

  • Medicare Advantage
  • Medicaid
  • Commercial
  • Employer-Sponsored
  • Accountable Care Organizations

Arbital Health Supports Every Stage of Value-Based Care Risk Contracting

Whether you are entering into your first risk contract, or you have many complex risk contracts in place, our expert actuarial team can simplify and streamline the process so you can focus on what you do best - improving patient care. Through our neutral contract adjudication platform, we enable better design, measurement, and adjudication of outcome-based contracts, making it a seamless experience for all stakeholders. 

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Data Acquisition & Management

Ensure quality data acquisition and address any gaps, establishing a reliable data foundation

 

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Opportunity Analysis

Determine accurate performance targets for risk arrangements.

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Contract Design

Develop strategies for effective and fair risk contract design, with a focus on measuring real value creation

 

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Interim Adjudication

Track financial performance and utilization on an ongoing basis to align performance expectations before actual contract settlements

 

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Predictive Outreach

Improve financial results through targeted outreach to high-risk members with addressable and avoidable spend

 

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Full Financial Reconciliation

Calculate final outcomes based on contract terms or evaluate return on investment for performance payments

 

Arbital's support was invaluable in driving our growth trajectory. Their sophisticated analytics and expertise helped us to quantify the savings opportunities for our clients in a meaningful & impactful way.

Every time I talk to anyone on the Arbital team, I get smarter. I learn something new that I didn’t know I needed to know, but now I do. Their support has been invaluable.

Arbital helped us critically think through this important transition. They were key in helping us frame the ROI models that are resonating with our customers and prospects.

LATEST NEWS

Arbital Health Launches Platform for Value-Based Care Adjudication Across Stakeholders

Discover a comprehensive suite of solutions that blends expert actuarial VBC consulting services with cutting-edge technology to manage value-based contracting and adjudication decision making between two or more stakeholders. Our actuarial services provide strategic insights and tech-enabled expert guidance, while our technology solutions provide an ecosystem to connect with other stakeholders neutrally in value-based contract arrangements and adjudication. Together, we support you by navigating the complexities of value-based care contracting and focus on delivering high-quality care.

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SITUATION

The organization became successful by a willingness to take on complicated and financially uncertain VBC agreements. 

CHALLENGE

To effectively manage these contracts, the company needed an accurate view of its financial performance, including monthly surplus/deficit reporting, IBNR and overall progress against its VBC agreements. 

SOLUTION

Arbital assisted the organization in negotiating and restructuring one-sided VBC contracts, creating fair and sustainable long-term arrangements.

 

Adjudication Platform

 

Actuarial Services

Actuarial Services
Adjudication Platform