Solutions 2018-02-12T16:58:59+00:00

Validate’s actuarial automation platform gives you years of accumulated health insurance capabilities, ACO-specific insights, comparison metrics and clinical oversight.

Best of all, it’s simple and understandable.

It’s like TurboTax for financial ACO optimization.

Basic

$5,000/mo
  • Monthly risk score calculation
  • Monthly shared savings estimation
  • (Self-service risk adjustment tools)
  • 2 hours / month
    Ad hoc actuarial & clinical support included

Intermediate

$10,000/mo
  • Monthly risk score calculation
  • Monthly shared savings estimation
  • Risk adjustment opportunity identification
  • Medical expense reduction identification
  • Physician-level benchmarks
  • 4 hours / month
    Ad hoc actuarial & clinical support included

Advanced

$12,000/mo
  • Monthly risk score calculation
  • Monthly shared savings estimation
  • Risk adjustment opportunity identification
  • Medical expense reduction identification
  • Physician-level benchmarks
  • Contract electronic load
  • Contract review
  • Contract negotiation support
  • 8 hours / month
    Ad hoc actuarial & clinical support included

Benefit from the collective wisdom that comes from years of experience with ACOs.

…Made even more valuable through actuarial best practices used by insurance companies.

The virtuous feedback loop: A better approach to ACO management

Our methodology has been adopted from the Agile enterprise model, but with ACOs in mind.

Continuously adjust your operations as you identify root causes for your results and forecast the impacts of your options.

Financial ACO optimization is not a one time exercise. If you’re not continuously adopting the changing regulatory and competitive landscape, you risk losses and instability.

Validate’s platform gives your
ACO the advantages of both
retrospective and prospective capabilities

With root cause analysis you can identify how each medical program, physician, patient cohort, member and claim impacts your financials.

Root Cause Analysis

With contract simulation and results forecasting it’s possible to weight the financial impact of multiple options before making a decision.

Simulation & Forecasting