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Brian Overstreet Is Building the Missing Ledger for Value-Based Care
After two healthcare-data exits, Brian Overstreet returned to the founder’s chair for a problem hidden in contracts, fragmented data and disputed math. His wager is that value-based care needs a shared system of record before it can scale.
Arbital Health
Arbital Health is a San Francisco-based healthcare technology company that combines an AI-powered software platform with a bench of credentialed actuaries to help payers and providers design, monitor, reconcile, and adjudicate value-based and risk-based contracts. Founded in November 2023 by Travis May and Brian Overstreet, it positions itself as a neutral third-party infrastructure layer for the shift to value-based care, centralizing fragmented claims, benchmark, and contract data and automating actuarial calculations such as IBNR and MLR.
Accorded
Accorded is a San Francisco-based healthcare actuarial intelligence company that pairs actuarial expertise with software to simplify and scale value-based contracting. Its platform helps payers, providers, and digital-health companies forecast, contract around, and validate the financial value of care across the value-based contracting lifecycle. Founded in 2019 (originally as Cerebrae) by health actuary Frank Cheung and engineer Thomas Bedington, the company's flagship product, Acumen, turns raw claims, eligibility, and engagement data into standardized, actuarially rigorous, ready-to-use data assets so analytics teams can spend less time wrangling data and more time on strategy.