About
Validate Health provides a monthly financial and actuarial optimization service exclusively for ACOs, built around a customized year round planning methodology developed for many of the nation’s largest health systems. By fully recreating CMS’s attribution and shared savings methodology for MSSP, REACH, and other CMMI programs, Validate is able to simulate the range of outcomes for each decision scenario. This capability gives ACOs the confidence to make both annual and longer term strategic decisions, such as program entry, entity structure, participant selection, and track selection. Access to 100% national claims and exclusive ACO-specific data assets, enables participant recruitment and retention that drive your market defense and growth goals. Since Validate is able to calculate the marginal shared savings contribution from each TIN or NPI for both forecasts and settlements, you can compete with a more compelling shared savings distribution. Operationally, Validate is able to identify ROI opportunities in HCC gap closure, modifiable utilization, and attribution management, giving you the tools to justify investment that give you a competitive advantage.
Products and Services That You Provide
Oliver Wyman’s Health Actuarial consulting practice is the industry leader in financial optimization for ACOs. We set the standard in predictive modeling, enabling ACOs to confidently make the critical decisions that drive success: participant selection, attribution methodology, model choice, MSR/MLR optimization, and early renewal strategies. Leveraging our national dataset, we benchmark your performance against all ACOs, uncovering actionable interventions that strengthen both benchmarks and expenditure management. The result: a clear, data-driven path to maximizing savings, mitigating risk, and improving long-term financial performance.