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.
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
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.
- 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.
- 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.
From early risk detection to automated action, Lightbeam AI supports clinicians at every step.
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 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
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
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.
Enjoy actuarially credible program design, contract modeling, & contract negotiations
- Enhanced competitive advantage
- More won RFPs
- Improved bid & pricing accuracy
Save time, eliminate redundant tasks & improve efficiency
- Recovered actuary & analyst time
- Streamlined processes & better workflow management
- Faster contract speed-to-market
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
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:
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