Validate Health

Validate Health The only year-round financial & actuarial optimization service exclusively for ACOs.

Health Insurance companies have dozens of trained risk experts, called actuaries, continually measuring and managing risks. Provider organizations including health systems and integrated delivery systems are being forced into managed care. Do they have the expertise and modeling tools to succeed at acting like insurance companies? Health actuaries use statistical and financial skills to measure an

d predict financial risk. Credentialed actuaries have rigorous licensing and professional excellence standards ensuring the quality of their predictions. Routinely performed actuarial activities include:

-Expected claims cost projection (e.g. premium pricing, capitation rate development, bundled episode pricing, shared savings/loss benchmark development)
-Expected claims cost growth (e.g. trend forecasting for medical and pharmaceutical spend, trend mitigation impact of medical management programs)
-Risk Management (e.g. Large claims modeling, optimal stop-loss threshold modeling)

At Validate Health, we believe that provider organizations have strong potential to succeed at managed care but it requires a shift in mindset. We offer a variety of actuarial support powered through technology to help providers along the journey to managed care. Specific offerings include:

-Our education and training program on actuarial methodology and value based reimbursement models to finance, managed care, and analytics staff
-Our data warehouse software package containing routines to prepare raw data for actuarial analysis
-Our modeling software package of standard actuarial models to fill in gaps in analytics
-Consulting support on either an ad hoc or regular basis to perform actuarial analysis
-Onsite actuarial support on either a part-time or full-time basis

About Validate Health:
-Founded in January of 2014 in Chicago, IL
-Provides actuarial modeling for over 50,000 members
-Saved health plans over $8 million in claims cost through actuarial modeling

🗓️ WEBINAR TOMORROW! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy, as well as Kelly A...
09/13/2022

🗓️ WEBINAR TOMORROW! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy, as well as Kelly A. Conroy from Pinnacle Healthcare Consulting, as they present, "What can still be done to impact 2022 shared savings?" at 1:00 PM EST on September 14th.

In the final part of this webinar series, we cover actions for the remaining 3.5 months of 2022, including beneficiary attribution and churn management, preparation for switching between prospective and retrospective assignment, HCC risk coding gap closure, and reducing modifiable utilization. We will also discuss calculating shared savings contributions by TIN and NPI, breaking it out into actionable components using root cause analysis, retention of high performers, and the feedback loop to low performers.

✏️ PLEASE REGISTER HERE: https://lnkd.in/dQUaWkAQ

If you're at NAACOS Fall 2022 in Washington DC, stop by Table 4 to see how Validate Health can provide your ACO with yea...
09/08/2022

If you're at NAACOS Fall 2022 in Washington DC, stop by Table 4 to see how Validate Health can provide your ACO with year-round financial optimization.

09/01/2022
This is why we do what we do!
08/31/2022

This is why we do what we do!

The CMS Medicare Shared Savings Program retained $1.66 billion in 2021 compared to spending targets, according to an Aug. 30 press release shared with Becker's

🗓️ WEBINAR TODAY! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy as they present, "Usin...
08/29/2022

🗓️ WEBINAR TODAY! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy as they present, "Using Your PY 2021 Settlement for PY 2023 Selections by Sept 9th" at 1:00 PM EST this afternoon. The webinar will be moderated by former Innovation Care Partners COO, Faron Thompson from Bailiwick Consulting Solutions, LLC.

In this webinar, we address common questions about settlement calculations and specific examples of settlement reports. Since there is still time to make decisions for PY 2023 (due September 9th), the webinar will dive into considerations for the decisions remaining, including dropping participants, selecting prospective vs. retrospective assignment method, and track selection.

✏️ PLEASE REGISTER HERE: https://attendee.gotowebinar.com/register/8663869477654292235?source=fb

We are very excited to see everyone in Washington, DC at National Association of ACOs Fall 2022! We have a few announcem...
08/26/2022

We are very excited to see everyone in Washington, DC at National Association of ACOs Fall 2022! We have a few announcements to share with you:

STOP BY OUR BOOTH

Validate Health welcomes you to stop by our brand new booth at Table #4 in the vendor exhibit hall. Our Chief Actuary, Andrew M. Webster, M.S., ASA, MAAA, and our Director of Value-Based Care Strategy, Ryan T. Mackman, MBA, MHA, CLSSGB, will be available to answer all of your questions about ACO financial optimization, benchmarking, and upcoming decision deadlines in value-based care.

SPECIAL GIVEAWAY

We’ll have a special giveaway that we'll announce soon via e-mail. You'll be able to walk by whenever you can, or reach out to any of our team via the Whova app to set up an appointment. Make sure that someone on our team receives your business card, and we’ll enter you into a raffle for a $100 Amazon gift card on the last day of the conference (announcement will be distributed via Whova).

NETWORKING EVENT: THURSDAY, SEPT. 8th

We are also working on a networking event, so stay tuned (that will also be announced via e-mail)! See you all in a few short weeks.

08/26/2022

Have you seen our virtual booth at VBC Exhibit Hall? You'll find additional resources that speak to how we help ACOs achieve their business goals via our PRISM framework (Programs, Risk, Size, Margins, Funding).

My custom description

Our Chief Technology Officer, David Portnoy, was featured in this week's VBC Exhibit Hall Flash Interview! Find out exac...
08/26/2022

Our Chief Technology Officer, David Portnoy, was featured in this week's VBC Exhibit Hall Flash Interview! Find out exactly why we're the only year-round financial & actuarial optimization service exclusively for ACOs.

Flash Interview with Validate Health 8/25/22

🗓️ UPCOMING WEBINAR! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy as they present, "U...
08/25/2022

🗓️ UPCOMING WEBINAR! 🎙️ Join Validate Health's Andrew M. Webster, M.S., ASA, MAAA, and David Portnoy as they present, "Using Your PY 2021 Settlement for PY 2023 Selections by Sept 9th" at 1:00 PM EST on Monday, August 29th. The webinar will be moderated by former Innovation Care Partners COO, Faron Thompson from Bailiwick Consulting Solutions, LLC.

In this webinar, we address common questions about settlement calculations and specific examples of settlement reports. Since there is still time to make decisions for PY 2023 (due September 9th), the webinar will dive into considerations for the decisions remaining, including dropping participants, selecting prospective vs. retrospective assignment method, and track selection.

✏️ PLEASE REGISTER HERE: https://attendee.gotowebinar.com/register/8663869477654292235?source=fb

08/24/2022

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