Arbital Health provides a neutral adjudication platform that utilizes data science and actuarial expertise to facilitate outcomes-based healthcare contracts among payers, providers, and employers. By serving as an unbiased source of truth, Arbital addresses the misalignment of incentives and outcomes in value-based care, enabling improved financial performance and patient care across various healthcare sectors.
Funding
$15.2M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
TCFounders
Product
Problem
Value-based healthcare contracts often suffer from misaligned incentives and a lack of transparency between payers, providers, and employers. This misalignment hinders the accurate measurement of outcomes and the fair adjudication of financial performance, creating distrust and impeding the growth of value-based care models.
Solution
Arbital Health offers a neutral adjudication platform that leverages data science and actuarial expertise to facilitate transparent and equitable outcomes-based healthcare contracts. By acting as an unbiased third party, Arbital ensures accurate performance measurement, simplifies contract management, and fosters trust among stakeholders. The platform supports every stage of risk contracting, from initial design and opportunity analysis to interim adjudication and final financial reconciliation. Arbital's technology and actuarial services enable improved financial performance and patient care across various healthcare sectors, including Medicare Advantage, Medicaid, commercial, and employer-sponsored plans.
Target Audience
Arbital Health serves payers, providers, employers, and value-based care enablers involved in risk-based healthcare contracts.
Features
- Data acquisition and management to ensure data quality and address gaps
- Opportunity analysis to determine accurate performance targets for risk arrangements
- Contract design strategies for effective and fair risk contract development
- Interim adjudication to track financial performance and utilization on an ongoing basis
- Predictive outreach to improve financial results through targeted interventions
- Full financial reconciliation to calculate final outcomes based on contract terms
- Actuarial consulting services providing strategic insights and expert guidance