Accorded provides technology-enhanced actuarial services tailored to the specific needs of specialty care models with services including Cost & Utilization Reports, Financial Business Cases, Pricing Models, and conducting Retrospective Claims Analysis. Accorded's actuaries leverage their advanced technology platform to deliver services, ensuring that their solutions are customized to address the unique challenges and requirements of their clients.

Serif Health provides healthcare pricing intelligence through APIs and self-serve analytics tools. Their platform processes machine-readable pricing data from health plans to deliver clean, actionable insights. These tools help provider organizations benchmark reimbursements, optimize pricing strategies, and improve contract negotiations. Health plans use Serif Health for network management and cost-effective care guidance, while employers and innovators utilize their data for plan audits, direct contracting, and integrating cost data into new healthcare products.

The Denniston Data Provider Ranking System ranks healthcare providers based on data such as procedure volume and geographic comparisons. It helps users identify high-volume, experienced providers for specific procedures and make informed decisions within a given area. The system uses transparent grading criteria based on provider experience and other relevant metrics.

Ventricle Health is a value-based care cardiology provider that helps close care gaps through health coaching, remote patient monitoring and lab work, nutrition and home exercise guidance, and digital touchpoints with both cardiologists and nursing staff. Ventricle Health employs general cardiologists and heart failure-trained cardiologists, who leverage evidence-based treatment protocols to titrate heart failure patients on guideline-directed medical therapies (GDMT).

agilon partners with primary care physicians to facilitate the shift from traditional fee-for-service models to value-based care for their senior patients. They primarily focus on Medicare Advantage members enrolled with private health plans, but are growing in the Medicare ACO REACH program. They provide a technology platform enabling doctors to monitor patient outcomes and healthcare utilization and support care coordination across different healthcare providers. They also offer financial management tools for risk management, revenue cycle management tools, and support in meeting regulatory compliance and quality improvement standards. Additionally, the platform includes patient engagement strategies to foster adherence to care plans and promote healthy behaviors.

Aledade partners with primary care practices to transition them to value-based care models for their Medicare populations through Accountable Care Organizations (ACOs). They primarily focus on the Medicare Shared Savings Program (MSSP), and increasingly are contracting directly with Medicare Advantage and commercial health plans. They provide a tech platform for data integration and analytics to identify patient care gaps and monitor population health, and support care coordination and chronic disease management. They also offer administrative support, including regulatory compliance and financial management.

Santa Barbara Actuaries Inc. (SBA) is an actuarial consulting firm that works with health plans, providers, government entities, and employers. Their expertise includes risk adjustment to determine expected healthcare costs, pricing and rate setting for insurance products, calculating necessary financial reserves, and forecasting healthcare utilization and expenses. Additionally, SBA helps clients navigate regulatory compliance requirements in value-based care. SBA was acquired by Arbital Health in January 2024. Arbital Health is a technology and services company specializing in the adjudication of value-based contracts.

ApolloMed works with physicians to deliver integrated care and manage value-based arrangements, with a focus on Medicare Advantage plans. They assume the financial risk for patient outcomes and support practices through technology and services such as care coordination to meet quality metrics and manage cost of care.

Belong Health is a health plan and provider enabler focused on enabling health plans to cover complex Medicare and dual eligible populations and enabling providers to participate in ACO REACH.

Better Health Group is a large value-based primary care practice that also supports independent practitioners through its Management Services Organization (MSO). They focus on senior populations under Medicare and their services include technology and operational support to help practices perform in value-based care models.

CardioOne is an enabler for cardiology practices that enables independent practices to participate in value-based care arrangements and provides technology and services to support performance. Their solutions include a technology platform encompassing EHR, patient portal, clinical tools and RCM functionality, practice optimization tools, strategic support, and HR systems.

CareAllies is a management services organization that partners with providers to enable success in value-based arrangements. CareAllies supports practices with services include contracting and network optimization, patient engagement, and analytics. CareAllies is a subsidiary of Cigna.

CareJourney is a healthcare analytics platform that specializes in offering pre-packaged claims data alongside data integration capabilities. The platform features advanced tools for benchmarking physician performance, providing insights into cost, quality, referral patterns, and patient volume. CareJourney provides analytics for patient segmentation and other value-based care models, helping organizations adapt to evolving payment structures.

CareMax is a value-based healthcare provider that delivers integrated primary, specialty and urgent services to the senior population through its network of medical centers. CareMax also provides practice transformation services to its network of Community Partner clinicians, helping them transition to value-based care through deploying practice transformation specialists and integrate technology into practice workflow.

Castell is a healthcare platform designed to facilitate the transition to and management of value-based care by consolidating and managing payer contracts. Castell performs an assessment of current practice operations, then creates a roadmap to transition to value-based care. Castell provides access to clinical and claims data, paired with machine learning and analytics. Additionally, the platform offers ongoing support, including care coordination, coding, documentation expertise, and best practice guidance. Castell is a subsidiary of Intermountain Healthcare.

Cedar Gate is a technology company that provides value-based care performance management solutions, from upfront contracting through population health analytics and performance measurement. Cedar Gate provides actuarial services to support with contracting and administration of value-based reimbursement structures such as bundled payments. Their data and analytics solutions integrate data from multiple sources and generate insights to drive care management activities. They work with payers and providers across many specialties and different populations.

Chamber Cardio is value-based care enabler for cardiology practices. They provide a technology platform to support practices with specialty-specific data and analytics, practice guidelines and contracting support. They also staff care teams to extend their practices’ services and support implementation of value-based contracts.

Clarify Health's Atlas platform is an enterprise analytics solution with over 15 billion claims in its dataset that can be used for price transparency in contract negotiations, building higher quality networks, reducing spend, and optimizing referrals. The platform aids in optimizing provider performance, reducing medical costs, and improving patient outcomes by integrating social determinants of health and detailed patient data.

Collaborative Health Systems (CHS) supports independent physicians and providers transition to VBC through the development and management of Medicare Accountable Care Organizations (ACOs). CHS provides a suite of services, including data analytics, administrative support, network building, and regulatory compliance assistance, to support provider performance. CHS is a subsidiary of Centene Corporation.

Definitive Healthcare is a data and analytics platform that provides detailed profiles of healthcare providers, market level data on providers, and trends in healthcare utilization and outcomes. Their platform serves a variety of uses cases, most notably life sciences marketing functions.

Duo Health is a nephrology focused value-based care provider and practice enabler that helps practices transition to value-based care. Duo Health facilitates fully capitated risk contracting and supports practices with services and technology including their Health Mobilization platform that uses AI to predict adverse events and engage directly with patients and providers.

Embold Health is a provider data and analytics company that specializes in assessing physician performance. Embold evaluates physician adherence to evidence-based medicine, patient outcomes, and cost-effectiveness. They are primarily used by employers and health plans for network design and care navigation tools and services. Additionally, they offer provider engagement tools to provide feedback to physicians on value-based care performance.

Empassion is a Management Services Organization (MSO) that works with providers on delivering value-based care to seniors with advanced illness. They work with providers by bringing them into their Accountable Care Organizations (ACO) to participate in Medicare’s ACO REACH model and they support practices in serving their populations with advanced illness through care models, care navigation, and analytics services.

Equality Health is a value-based care organization focused on health equity and meeting the needs of diverse and historically underserved populations. Equality Health manages an integrated provider network and works with participating providers to access value-based reimbursement structures, manage the health of their populations, and deliver culturally competent care. Equality Health is primarily focused on Medicaid populations and also participates in Medicare’s value-based care programs including ACO REACH.

Evergreen Nephrology is a nephrology focused value-based care organization that works with nephrology practices to deliver value-based care for patients with kidney disease. They enable nephrology practices to take risk on their Medicare populations and provide services to enable VBC performance, including interdisciplinary clinical teams that support patients in the home and tools to support care management activities.

Evolent is a value-based care organization that partners with health plans and providers. They help primary care practices participate in the Medicare Shared Savings Program (MSSP) through the Evolent Care Partners ACO and they support specialty practices including oncology, cardiology and musculoskeletal to transition to value-based care. They also provide analytics and administrative services to support both providers and payers in value-based care delivery.

Garner Health uses a claims database with over 60 billion records from 320 million patients to identify healthcare provider quality for use in care navigation. They offer products for care navigation, as well as the dataset for use in other applications.

Healthmap is a value-based kidney care company that works with health plans and providers to manage populations impacted by kidney disease. Healthmap’s solutions for providers include Compass, a technology platform to support early identification of high risk patients and implementation of clinically appropriate interventions.

Honest Medical Group is a provider enabler that works with physicians, health systems and IPAs to participate in value-based models for their Medicare populations. They focus on both Medicare Advantage and ACO REACH.

HSBlox provides a platform designed to support value-based care through end-to-end administration of various payment models. It facilitates communication between stakeholders, ensures transparency, and manages complex contracts, enabling healthcare organizations to transition smoothly between fee-for-service and value-based reimbursement structures.

Interwell Health is a value-based kidney care management company that partners with providers to improve patient outcomes. They manage a network of nephrologists, enable practices to participate in risk-sharing arrangements, and support practices with a value-based care program that includes analytics and care management services. Interwell also provide a nephrology-specific EHR, Acumen Epic by Interwell.

J2 Health is a provider analytics company that helps health plans design provider networks that meet network adequacy, quality and marketability standards.

Karoo Health is a healthcare company specializing in value-based cardiovascular care. They offer a hybrid care model that combines dedicated on-site and virtual care teams with proprietary digital technology to assist cardiology networks, health systems, and health plans in transitioning to and succeeding in value-based care initiatives. Their services aim to improve patient health outcomes and reduce overall costs in cardiology by providing comprehensive support throughout the patient care journey.

Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services. Lumeris advises on VBC contracting and offers risk-sharing options to strengthen its partnerships. They also provide technology, analytics and operational support to enable performance in VBC models.

Main Street Health specializes in value-based care for rural communities. Main Street Health partners with primary care practices serving rural populations and enables them to participate in value-based programs for their Medicare populations, including the Medicare Shared Savings Program (MSSP) as well as Medicare Advantage contracts. They provide health navigators who support practices with care coordination and access to data tools.

Milliman is a provider of actuarial products and services. Milliman’s healthcare division offers data analytics, consulting and actuarial services. Payers and providers work with Milliman on value-based care contracting strategy, pricing and risk-adjusted performance evaluation.

Navvis is a population health company that supports health systems, health plans, and physicians with a range of value-based care solutions including data & analytics, in-person practice optimization support, virtual care coordination and care management services, technology, and contract implementation. Navvis is a subsidiary of Surround Care, which was formed through the merger of Navvis and Esse Health, a value-based primary care organization.

NeueHealth is a network of owned and affiliated providers that also offers physician enablement solutions to support value-based care delivery. NeueHealth formerly operated as Bright Health.

Novocardia is the value-based care division of Cardiovascular Associates of America (CVAUSA). They work with risk-bearing providers, payers, physicians groups and health systems and they provide a spectrum of services including customized risk-sharing arrangements and care navigation support through their cardiovascular care network.

On Belay is primary care enabler that works with primary care practices, federally qualified health centers (FQHC) and integrated provider networks to participate in Medicare’s valued-based care programs. On Belay primarily focuses on ACO REACH and on the Medicare Shared Savings Program (MSSP), but also manages Medicare Advantage and Commercial risk contracts. They support providers with clinical services and performance analytics.

Oncology Care Partners is a value-based oncology enabler and medical practice serving Medicare Advantage members. In addition to managing its own provider practice, Oncology Care Partners offers management services to support patient experience through patient advocacy services and 24/7 support.

OneOncology is a network of oncology practices and value-based care enabler for partner practices. Their solutions for practices including OneAnalytics, an analytics platform to help practices measure financial, operational and clinical performance, and OneCouncil, a physician executive board to advise on clinical practice.

P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients. P3 Health Partners supports its providers with care delivery services including access to Nurse Practitioners (NP) in P3 wellness centers and care teams of RNs and other professionals that provide preventive care coordination, care navigation, medication management, transitions of care services, and care management for chronic conditions. They also work with health plans and have capabilities to take delegation of certain payer function such as network management and utilization management.

Panoramic is a value-based kidney care organization that enables nephrology practices through contracting, data and analytics, and care delivery support. They manage a network of nephrologists and support practices through analytics tools including a chronic kidney disease database and predictive analytics for end stage kidney disease, patient facing tools to support patient engagement, care management, and care coordination, and workflow automation tools to support provider engagement.

Pearl Health is a physician enablement company that helps primary care physicians engage in Medicare’s value-based care programs, such as the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model. Pearl Health aggregates practices in ACOs and supports practices as a risk-bearing partner that administers contracts and payments. Pearl Health is also a technology company that supports practices with population health analytics, contract performance measurement, and care recommendations.

Privia is a national physician organization focused on administrative, financial and clinical outcomes in value-based delivery structures. Privia’s operations are structured regionally and encompass employed physician practices, physician networks aggregated through ACO and IPA structures, and MSOs that provide administrative services to medical groups. They can support providers along the spectrum of independence and risk ownership in value-based care structures. They also offer population health management tools to support. Privia also provides contracting and network design services for health plans and larger risk-bearing health systems.

Signify Health is a health services company that delivers a range of value-based care services and software to providers, health systems and health plans. They manage Accountable Care Organizations (ACO) and serve as a risk-sharing partner for providers and health systems to participate in value-based care arrangements. Signify also provides direct services including in-home health evaluations and care coordination services aimed at addressing gaps in care and improving patient experience. Signify is a subsidiary of CVS Health.

Somatus is a value-based kidney care company that enables practices to participate in value-based care arrangements. They provide contracting support, risk and population health analytics customized to populations with kidney disease, and local care teams that deliver services in the home.

Story Health provides a technology-enabled platform for heart failure management with combined virtual and asynchronous care, continuous home data collection, and intelligent clinical pathways to streamline workflows for clinicians. Key features include automated patient engagement, personalized care plans, and on-demand health coaches who address social determinants of health barriers. This integrated approach aims to improve patient outcomes and access to care while reducing the burden on healthcare providers.

Strive Health is a value-based kidney care company that supports health systems, payers, nephology practices and at-risk medical groups. Their solutions include CareMultiplier, kidney disease-specific technology that aggregates data and generates population health insights, and Kidney Heroes, care teams including NPs, RNs, care coordinators and dietitians to extend the reach of their practices.

Syntax is a value-based care contracting company that provides modeling and negotiation support for health plans, providers and employers. Their services include contract analytics to support evaluation of different reimbursement models and guidance on negotiating contract terms such as attribution and carve-outs.

Thyme Care is a value-based oncology company that provides care management services and technology to support clinical outcomes and cost reduction. They have virtual care teams that provide navigation and coordination services and a care management platform to deliver data and analytics on population risk and care plan guidance. They work with health plans, primary care practices and oncologists, and support practices in participating in value-based reimbursement for their populations impacted by cancer.

Trella Health is a healthcare analytics company that offers data, analytics and consulting solutions primarily geared towards post-acute care and referral management. Their Marketscape strategy solutions include analytics to support network design and cost reduction and their platform solutions include EHR data integration services and a CRM to manage patient relationships and grow patient volume.

Turquoise Health is a data platform that provides price transparency data and payer-provider contracting solutions. Their price transparency data platform enables pricing through competitive benchmarking and customized rate setting, particularly for value-based reimbursement structures such as bundled rates. Their managed care contracting software enables more efficient rate negotiations.

UpStream is a physician enabler that works with primary care practices to transition to value-based reimbursement structures for their Medicare populations, primarily under the ACO REACH program, and provides technology and services to support outcomes. UpStream brings physicians into its ACOs and offers a structured reimbursement solution, Guaranteed Advanced Payments for Quality (GAP-QTM). Their enablement solutions include data integration, population health analytics, and embedded clinical teams including nurses and pharmacists to extend each practice’s service delivery.

US Heart & Vascular is an enabler for independent cardiologists and partners with cardiovascular practices with to provide administrative services and access to financial benefits.

Vytalize is a physician enabler that helps primary care practices transition to Medicare’s value-based care programs. Vytalize provides physicians in its ACO with value-based incentive payments as well as technology and services to drive performance and outcomes. Their services include analytics on care gaps and virtual clinical services to extend each practice’s reach.

Wakely is an actuarial consulting firm that works with healthcare organizations. They provide strategic advisory and risk management services for health plans and providers, including value-based care payment model definition and pricing, contract negotiation support, utilization and cost measurement, risk adjustment, and contract reconciliation activities. Wakely is a subsidiary of Health Management Associates (HMA).

Wellvana is a value-based care enabler that helps physicians and health systems participate in value-based contracts and provides technology and services to support performance. Wellvana helps providers participate in Medicare’s value-based care programs as well as Medicare Advantage and commercial value-based care contracts. Wellvana’s services include a care management team of RNs and care coordination to address gaps in care. Their technology includes an EMR overlay that provides point-of-care insights to help close gaps in care.

Wildflower is an enabler of value-based maternity care. They provide software and services to providers and payers, from upfront advisory on value-based contracting for obstetric and maternity care through on-going performance analytics solutions and workflow integration to drive outcomes.

Yuvo Health is a value-based care enabler for Federally Qualified Health Centers (FQHC). Yuvo Health accepts risk on behalf of community health centers and also partners with IPAs, offering additional revenue through value-based contracts and more favorable contracts as part of a larger provider network. Health centers have access to Yuvo’s Population Health team that provides analytics and advisory support in achieving quality targets.