Healthcare & Life Sciences / Health Insurance & RCM Tech
Best Value-Based Contract Management Companies
What is Value-Based Contract Management?
The value-based contract management market is focused on improving patient outcomes and minimizing expenses for both payers and providers in the healthcare industry. These vendors utilize technology to facilitate the shift from fee-for-service to value-based care models. In these models, healthcare providers are reimbursed based on the quality of care provided rather than the quantity of services delivered. This market is particularly relevant in the US healthcare system, as Medicare and other payers continue to embrace value-based payment models.
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Top Value-Based Contract Management Companies
Lumeris focuses on value-based care strategies and managed services within the healthcare sector. It offers various services such as population health management, physician alignment, care delivery optimization, network management, and value-based data analytics. It primarily serves health systems and providers looking for clinical and financial outcomes in value-based care arrangements. Lumeris was formerly known as Essence Group Holdings. The company was founded in 2000 and is based in Maryland Heights, Missouri.
Known Partners
Integrated Physician Network, Essence Healthcare, Northeast Georgia Health System, and 4 more
Known Customers
TriHealth, NorthShore University HealthSystem, Stanford Health Care Advantage, and 2 more
Key People
Richard Jones, W. Michael Long, Ben Grabski, and 2 more
Innovaccer is a healthcare technology company focused on data activation and care delivery transformation. The company offers a healthcare data platform that unifies patient data across various systems and settings, providing healthcare organizations with applications that aim to improve clinical, financial, operational, and experiential outcomes. Innovaccer's solutions cater to providers, payers, life sciences companies, and government sectors within the healthcare industry. It was founded in 2013 and is based in San Francisco, California.
Evolent Health focuses on healthcare management solutions, particularly for complex health conditions within the healthcare industry. The company offers a suite of services including clinical pathway optimization, decision support, and engagement tools for providers and patients, as well as administrative services to streamline operations. It primarily serves health plans and physicians. Evolent Health was formerly known as VPhealth. It was founded in 2011 and is based in Arlington, Virginia.
Health Catalyst specializes in data and analytics technology and services within the healthcare sector. The company offers solutions for population health management, patient engagement, clinical quality improvement, patient safety, and various tech-enabled managed services aimed at enhancing healthcare performance and quality of care. It primarily serves healthcare organizations, including health systems, and insurers. Health Catalyst was formerly known as Healthcare Quality Catalyst. It was founded in 2008 and is based in South Jordan, Utah.
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Aledade is a public benefit corporation focused on supporting independent primary care practices through the development and management of Accountable Care Organizations (ACOs) within the healthcare sector. The company provides a scalable model that includes healthcare data analytics, user-friendly workflows, healthcare policy expertise, and strong payer relationships to help practices improve care quality and achieve financial success in value-based care arrangements. Aledade primarily serves private practices, group practices, community health centers, and networks of ACOs. It was founded in 2014 and is based in Bethesda, Maryland.
Bamboo Health operates as a healthcare technology solutions company. It focuses on fostering care collaboration and provides information and actionable insights across the continuum of care. The company's technology solutions equip healthcare providers and payers with software, information, and insights to facilitate whole-person care across the physical and behavioral health spectrums. Bamboo Health was formerly known as Appriss Health. The company was founded in 2013 and is based in Louisville, Kentucky.
Clarify Health specializes in healthcare analytics and value-based payments, operating within the healthcare sector. The company offers a unified platform, Atlas, which provides insights into patient journeys, healthcare market dynamics, and strategies for clinical and business impact. Clarify Health primarily serves healthcare providers, health plans, and life sciences companies with its analytics software. It was founded in 2015 and is based in San Francisco, California.
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Lyfegen is a global software analytics company operating in the healthcare sector. The company provides a platform that identifies and operationalises value-based payment models for health insurances, pharmaceutical companies, medical technology firms, and hospitals, using real-world data and machine learning. Its primary customers are in the healthcare industry. It was founded in 2018 and is based in Basel, Switzerland.
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Nuna is a company that focuses on healthcare technology, specifically in the domain of Value Based Care. The company offers a platform that facilitates intelligent payment models, seamless operations, and fast payments for healthcare providers. This platform is primarily used in the healthcare industry. It was founded in 2010 and is based in San Francisco, California.
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PointClickCare is a healthcare technology company that operates in the long-term and post-acute care (LTPAC) sector. The company provides a cloud-based software platform that enables care collaboration, access to real-time insights, and value-based care delivery. Its main services include care coordination, patient data management, financial operations, and healthcare network communication. It was founded in 2000 and is based in Toronto, Ontario.
Privia Health is a national physician organization focused on transforming healthcare delivery through technology and partnerships. The company offers a platform designed to improve patient outcomes, reduce healthcare costs, and support provider well-being by providing tools, talent, and technology for better healthcare management. Privia Health primarily serves physicians, patients, employers, health systems, and payers with its healthcare solutions. It was founded in 2007 and is based in Arlington, Virginia.
Signify Health provides a healthcare platform. It offers a network of clinicians, physicians, nurse practitioners, and physician assistants that utilize home-based visits to identify a patient's clinical and social needs and connect them to appropriate follow-up care and community-based resources. The company was founded in 2017 and is based in Dallas, Texas. In March 2023, Signify Health was acquired by CVS Health.
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Stellar Health is a healthcare technology company operating in the healthcare sector. The company offers a web-based platform that provides real-time notifications and meaningful incentives to healthcare providers and practice staff, aiming to improve the quality of care. The platform includes a tailored incentive program, business intelligence and analytics, and implementation support. Stellar Health primarily serves payors, health systems, provider networks, and practicing physicians. It was founded in 2018 and is based in New York, New York.
Vim provides a middleware platform and specializes in healthcare integration solutions, focusing on electronic health record (EHR) workflows and supporting value-based care initiatives. The company offers a cloud-based platform that connects clinical data and insights directly into provider EHR systems, aiming to reduce administrative burdens and improve care delivery. It serves various sectors in the healthcare industry such as payers, providers, and health technology developers. Vim was formerly known as BookMD. The company was founded in 2015 and is based in New York, New York.
Vytalize Health is a value-based care platform focused on transforming healthcare for independent primary care physicians. The company offers data-driven support and a virtual clinic to enhance patient care and facilitate physicians' participation in value-based care arrangements with Medicare. Vytalize Health primarily serves private practices, group practices, community health centers, and existing ACOs, aiming to improve patient outcomes and practice efficiency. It was founded in 2014 and is based in Hoboken, New Jersey.
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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 is focused on improving patient outcomes and minimizing expenses for both payers and providers in the healthcare industry. These vendors utilize technology to facilitate the shift from fee-for-service to value-based care models. In these models, healthcare providers are reimbursed based on the quality of care provided rather than the quantity of services delivered. This market is particularly relevant in the US healthcare system, as Medicare and other payers continue to embrace value-based payment models.
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Market Map
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Do you compete within Value-Based Contract Management?
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Your future customers are researching their next tech solution on CB Insights. Make sure they can find you.