Actuarial Intelligence for Value-Based Care

Syntax Health brings actuarial intelligence and transparency to value-based care contracts helping organizations to model risk, negotiate smarter, and track performance with confidence.

Why Value-Based Contracts Are Hard to Get Right

As organizations take on more accountability under value-based care, financial success increasingly depends on contract structure, assumptions, and ongoing performance visibility. Yet many organizations still rely on manual processes and disconnected tools to manage complex agreements.

Common challenges:

  • Contract terms and assumptions lack transparency
  • Financial risk is difficult to quantify before signing
  • Negotiation cycles stretch for months
  • Incentive payments are missed or under-realized
  • End-of-year performance comes as a surprise
How Syntax Helps Organizations Succeed In Value-Based Care?

Our outcomes-driven advisory services are grounded in real-world population health experience. Every advisory engagement is tailored to your organization’s attributed populations, contracts, and operational realities, ensuring insights translate into execution.

Contract Intelligence
  • Model shared savings, downside risk, and incentive structures before finalizing contracts.
  • Replace spreadsheets and assumptions with actuarially credible projections.
  • Clarify financial exposure and opportunity across complex, multi-payer agreements.
Business Outcomes
  • Faster, more confident contract negotiations with aligned stakeholders.
  • Clear visibility into financial performance and expected year-end results.
  • Reduced downside risk and fewer missed incentives across value-based arrangements.
AI That Works With Clinicians, Not Around Them

From early risk detection to automated action, Lightbeam AI supports clinicians at every step.

Fast Tracked Modeling

Fast-tracked modeling allows for collaborative, dynamic configuration of terms & incentive scenarios.

  • Build contract models from scratch or use our  template libraries
  • Easily compare projected savings estimates to  budget targets and evaluate key differences
  • Securely provide access to view proposals, make  adjustments, accept and finalize contract terms
Performance Measurement

Performance measurement previews assist in course correction & practice alignment.

  • Credible, relevant and timely insights into VBC performance

  • Flag which levers will best improve results within measurement period

  • Accelerate cost savings and quality improvements

Oversight & Management

Better oversight & management  across all lines of business, provider domains, and market segments.

  • Enable end-to-end management of VBC contracts

  • Faster and more accurate insights into your value-based-care portfolio

  • Facilitate reconciliation, payment and accurate financial reporting

A Better Way At Every Step of the Process

Syntax complements Lightbeam’s platform by providing the financial and contractual intelligence layer required for value-based care success. Together, Syntax and Lightbeam enable organizations to move seamlessly from contract design and negotiation to care delivery and performance improvement.

'Best-fit' Contract Model Design

Enjoy actuarially credible program design, contract modeling, & contract negotiations

  • Enhanced competitive advantage
  • More won RFPs
  • Improved bid & pricing accuracy
Efficient Workflow Automation

Save time, eliminate redundant tasks & improve efficiency

  • Recovered actuary & analyst time
  • Streamlined processes & better workflow management
  • Faster contract speed-to-market
Dynamic Contract Negotiation

Enable cross-functional teams & multiple stakeholders to see the whole picture

  • Recovered actuary & analyst time
  • Streamlined processes & better workflow management
  • Faster contract speed-to-market
Client Success Story - Vanguard Medical Group
Vanguard Medical Group Reduces Leakage By 75% with
Data-Driven Referral Management

Vanguard Medical Group (VMG) is made of 10 primary and specialty care practices serving over 50,000 patients in the state of New Jersey. Like many medical groups today, VMG knew they had a problem with referrals going out-of-network and had no process to close the loop or measure the clinical and financial impacts.

VMG implemented the referral module across all locations and immediately noticed a difference in referral, cost, and patient engagement metrics. With a reliable way to manage referrals, VMG has seen:

75% Reduction in Referral Leakage
10% Reduction in Medicaine Medicar Part B and Commercial Costs
100% Increase in Outbound Referral Visibility
64% Increase in Patient Engagement
Lightbeam's proven, market & thought leading solutions and services for VBC Enablement deliver value and ROI for your healthcare organization.
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