ADJUDICATION PLATFORM

Transforming Health Care Through Outcomes-Based Care

Simplifying Your Value-Based Care Contracts

Our adjudication platform is a neutral network for collaborative risk contracting, connecting healthcare stakeholders and establishing shared data, analytics, modeling, and measurement standards for the industry. 
Member Engagement Dashboard
Adjudication Module

Reducing Costs with Continuous Monitoring

Arbital helps you avoid long and costly end-of-year disputes by providing interim adjudication to give an accurate view into financial performance and overall progress against risk agreements. Continuous monitoring of performance and utilization aligns contract expectations for all parties before final reconciliation. 

map-pinData Ingestion & Mapping

 

Automated Data Ingestion: Reliable, clean, and properly mapped data is vital in value-based care. We ensure high-quality data standards through an actuarially-supported data ingestion and mapping process.

 

Our expertise in processing and optimizing data from different payers and plans ensures timely and accurate analysis and accelerates the identification of any issues in the contract lifecycle.

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 Performance Monitor

 

 

Actionable Data Insights: We identify actionable opportunities by health condition and risk level, providing clear guidance on value and intervention strategies.

 

Our performance monitoring analyzes cost and utilization data to identify and prioritize areas for improvement such as member engagement, targeted outreach, or other care management activities, highlighting areas for improvement.

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 Interim Adjudication (Financial Reporting)

 

Key Financial Metrics Tracking: We align stakeholders on key financial metrics, ensuring contracting parties can assess value creation in real time and adjust strategies to ensure positive patient outcomes and value creation.

 

Continuously measuring financial performance and making informed decisions throughout the contract lifecycle is critical to align incentives and performance before final reconciliation.

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 Predictive Outreach

 

 

Targeted Outreach: Expand your reach and grow your business by identifying members using our predictive models who are the most in need of support and have the highest risk of addressable spend. This enables more focused outreach and improved results across various conditions.


Our predictive models cover all disease verticals, increasing your measurement accuracy and improving financial performance in a risk contract.

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 Final Adjudication & Reconciliation

 

Efficient Outcomes Analysis: Arbital simplifies outcomes analysis and contract adjudication, enhancing decision-making processes and saving valuable time and resources.

 

We provide robust calculations of final outcomes of contract terms or evaluate ROI for performance payments - facilitating impartial adjudication of outcomes-based contracts at scale. 

 

Arbital Health Adjudication Platform

Contact us today to learn how our Contract Adjudication Platform can streamline your VBC contracting and reconciliation process, ensuring efficient and accurate execution of contract terms aligned with health outcomes.

Arbital Health's VBC Contract Adjudication Platform
Contact us today to learn how our Contract Adjudication Platform can streamline your VBC contracting and reconciliation process, ensuring efficient and accurate execution of contract terms aligned with health outcomes.