Healthcare & Life Sciences / Health Insurance & RCM Tech

Best Value-Based Contract Management Companies

EXECUTION STRENGTH ➡MARKET STRENGTH ➡LEADERHIGHFLIEROUTPERFORMERCHALLENGER

What is Value-Based Contract Management?

The value-based contract management market refers to the practice of managing contracts between healthcare providers and payers based on the outcomes achieved by patients. This approach incentivizes providers to focus on delivering high-quality care that leads to positive patient outcomes, rather than simply providing more services. The solutions in this market include software platforms that enable providers and payers to track patient outcomes, identify areas for improvement, and negotiate contracts based on those outcomes. This market is gaining traction as healthcare costs continue to rise and there is a growing emphasis on value-based care. Companies in this space are well-positioned to benefit from this trend and provide valuable solutions to their customers.

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Top Value-Based Contract Management Companies

Aledade logo
Aledade

United States / Founded Year: 2014

Aledade is a physician enablement company helping independent practices, health centers, and clinics deliver care to their patients through its proven, scalable model, which includes data analytics, user-friendly guided workflows, health care policy expertise, payer relationships, and integrated care solutions. Aledade was founded in 2014 and is based in Bethesda, Maryland.

Key People

Edwin Miller, Mat Kendall, Farzad Mostashari, and 2 more

HealthVerity logo
HealthVerity

United States / Founded Year: 0000

HealthVerity provides technologies and software tools for the discovery and integration of optimal patient data sets. The company works with pharmaceuticals, hospitals, and payer customers to maximize the insights from data supplier relationships.

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Stellar Health

United States / Founded Year: 0000

Stellar Health is a point-of-care platform that activates primary care providers to achieve value-based care (VBC) goals that improve patient outcomes, such as improving quality scores and optimizing the patient care journey through transitions of care and high-value referrals. The Stellar platform helps providers continually engage with their patients by providing them real-time information and tangible action-based incentives for improving quality of care.

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All Companies in Value-Based Contract Management

Arcadia logo
Arcadia

United States / Founded Year: 0000

Arcadia is a population health management technology company that offers various data-related insights solutions. It helps providers and health plans deliver insights to advance care and research, drive strategic growth, and ensure financial success. It caters its services to healthcare enterprises. The company was founded in 2002 and is based in Boston, Massachusetts.

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Cedar Gate Technologies logo
Cedar Gate Technologies

United States / Founded Year: 0000

Cedar Gate Technologies is a value-based care performance management analytic and operating company. Cedar Gate provides high-performance analytic and operating systems that enable users to meet and exceed the performance thresholds of risk-based contracts and programs.

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CipherHealth logo
CipherHealth

United States / Founded Year: 0000

CipherHealth helps hospitals avoid government penalties by reducing preventable readmissions, improving outcomes, better coordinating care, and creating a positive patient experience. CipherHealth reaches out over the phone, through tablets, via email, text, or the web, better engaging patients in their care and building stronger relationships between patients and providers. The company was formed through a partnership of New York eHealth Collaborative and Partnership Fund for New York City.

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Lyfegen logo
Lyfegen

Switzerland / Founded Year: 0000

Lyfegen is a global software analytics company providing a value and outcome-based agreement platform for health insurance, pharma, MedTech, and hospitals around the globe. Its platform identifies and operationalizes value-based payment models at scale using a variety of data and machine learning. Its platform health insurance and hospitals can implement and scale value-based healthcare, access to treatments, patient health outcomes, and affordability. The company was founded in 2018 and is based in Basel, Switzerland.

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Key People

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Prealize logo
Prealize

United States / Founded Year: 0000

Prealize uses machine learning to responsibly contain healthcare spending for patients and their health insurers by predicting those who will be high-cost patients in the coming year. Its solutions include RiskInsight for underwriters seeking to find future high-cost claimants at the individual and group level to make more accurate pricing decisions, ConsumerConnect for consumer experience, member experience, and digital strategy leaders seeking to engage more members and improve outcomes, ConsumerConnect High Touch for clinical, health services, care management, and physician leaders seeking to prioritize future high-cost claimants and intervene earlier, and Health Equity for all healthcare leaders seeking to close the equity gap and provide holistic support for members based on predictive, actionable insights. The company was founded in 2015 and is based in San Francisco, California.

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Vim

United States / Founded Year: 0000

Vim is a healthcare platform that aligns incentives between payers and providers to empower value-based care decisions. Vim's platform helps promote affordable, convenient, high-quality care by helping physicians and patients choose the optimal provider for their preferences and needs through online booking and referral solutions.

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Vytalize Health

United States / Founded Year: 0000

Vytalize Health provides a value-based care platform for primary care doctors to strengthen relationships with their patients through data-driven and personalized care. It provides solutions, including value-based incentives, technology, and a virtual and in-home clinic that enables small and large independent practices to succeed in value-based care arrangements. Vytalize Health's care delivery model transforms the healthcare experience by helping them manage their chronic conditions in collaboration with their doctors. The company was founded in 2014 and is based in Hoboken, New Jersey.

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Key People

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Our Methodology

The ESP matrix leverages data and analyst insight to identify and rank leading private-market companies in a given technology landscape.

What is Value-Based Contract Management?

The value-based contract management market refers to the practice of managing contracts between healthcare providers and payers based on the outcomes achieved by patients. This approach incentivizes providers to focus on delivering high-quality care that leads to positive patient outcomes, rather than simply providing more services. The solutions in this market include software platforms that enable providers and payers to track patient outcomes, identify areas for improvement, and negotiate contracts based on those outcomes. This market is gaining traction as healthcare costs continue to rise and there is a growing emphasis on value-based care. Companies in this space are well-positioned to benefit from this trend and provide valuable solutions to their customers.

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Market Map

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