risk-based-contracting
(3)
Somatus Bet $465 Million That the Best Kidney Business Prevents Dialysis
The McLean healthcare company built a national care layer around a simple, expensive idea: find kidney and heart trouble earlier, bring clinicians into the home, and get paid when patients stay healthier. The promise is compelling. The execution depends on data, patient trust, and risk contracts all working at once.
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.
agilon health
agilon health is a healthcare company that helps community primary care physicians move from fee-for-service medicine to value-based care for seniors. Through its Total Care Model, agilon gives physician partners the capital, technology, data and 100% downside risk protection they need to take on full financial responsibility for the total care of their Medicare patients. The company partners with physician groups across more than 30 communities and serves over half a million seniors on its platform.