Services

Our Services

Comprehensive support at every stage of your commercial journey

ROI Modeling

Bespoke, actuarial-grade ROI models to help convert contracts with health plans, employers, and health systems.

Target and engagement modeling
Clinical savings quantification
Prospective ROI analysis

Cost of Care Benchmarking

Fully-configurable cost of care benchmarks for any population.

Episode of care grouping
Population profiling
Dynamic benchmarking
Propensity-matched population development

Retrospective Impact Analysis

Retroactively analyze the impact of healthcare interventions / programs on total cost of care.

Impact model development
Member-level cost and utilization results
Benchmarked on 45M+ reference lives

Pricing and Contracting Support

Augment existing sales, contracting, and market expansion initiatives.

Pricing strategy
Contract design and scenario testing
Opportunity analysis
Pricing and underwriting models

Forecasting

Forecast the financial impact of your commercial strategy.

Funding, claims, and risk adjustment forecasts
Contract performance monitoring
Incurred but not reported (IBNR) estimates
Capital allocation models
Catastrophe modeling
Reserve adequacy models

Case Studies

Oshi Health

Whole-person, virtual-first, value-based care for gastrointestinal (GI) conditions and digestive health

“Accorded has been an invaluable partner in unraveling the intricacies of GI claims data, enabling us to confidently broaden our risk-bearing approach to payer contracting and to establish a robust framework for value-based agreements in the GI space.”

MG

Mike Goodman

Co-Founder & Head of Strategy & Operations

About Oshi Health

In a high-touch virtual care delivery model, Oshi Health provides diagnosis and integrated care for digestive conditions and empowers people to achieve lasting control of their symptoms. Oshi Health works with innovative employers, health insurance partners, health systems and community gastrointestinal practices to scale access to multidisciplinary care, reduce healthcare costs, and improve the lives of millions of Americans with chronic gastrointestinal diseases.

Challenge

As a multidisciplinary, virtual-first GI provider, Oshi Health needed to articulate its impact on financial savings that better reflected their total addressable market and care delivery approach. Despite the potential for significant cost savings and improved patient outcomes, the lack of accurate claims analyses has hindered the adoption of novel, tech-enabled GI care and risk-sharing arrangements with payers.

Solution

Oshi Health turned to Accorded for its actuarial and data expertise to perform service benchmarking and episode of care analyses. Oshi Health's proprietary episode of care definitions informed custom GI population cohorts in which benchmark metrics such as prevalence and annual cost were determined.

Impact

By leveraging the episode of care model, Oshi Health has been able to demonstrate significant savings opportunities to payers through deeper-level, population-specific claims analysis for the GI population. Oshi Health highlights to payers a data-driven story about opportunities for cost reduction, while also improving GI patient outcomes. The transparent and actuarially-rigorous methodology used has helped to build trust with payers and drive adoption of its novel care delivery approaches.

Origin

Physical therapy and outcomes-based guidance for women's health issues

“Accorded has enabled us to help illuminate the true and often hidden costs of pelvic floor dysfunction, and how our offering bends the costs and outcomes curve—shifting the conversation from nice-to-have to must-have.”

CC

Carine Carmy

CEO & Co-Founder

About Origin

Every year, 40M women and individuals with vaginal anatomy suffer from pelvic floor dysfunction. Origin's physical therapy and outcomes-based guidance prevent and treat a wide range of overlooked women's health issues related to pregnancy, postpartum, menopause, and sexual health. The company offers virtual and in-person PT sessions, covered by insurance and supported by proprietary exercise programs, educational content, and community experiences.

Challenge

Origin needed to demonstrate how its clinical model reduces cost of care for commercial payers. Quantifying financial value is complex and costly, traditionally warranting a team of internal or outsourced actuaries. The company needed to measure the savings potential of its improved care management for patients with specific maternity, pelvic floor, or musculoskeletal (MSK) conditions prevalent in women.

Solution

Origin utilized Accorded to build an Opportunity Forecast within the Accorded Platform. Using the Merative™ MarketScan® Commercial Database with 25M+ members, Origin quantified and projected savings estimates by determining target patient demographics, magnitude of impact, and expected engagement rates. The analysis showed specific cost savings opportunities for different conditions.

Impact

Origin's Opportunity Forecast demonstrated significant savings potential: $2K per patient per year for maternity complications, $3.3K per year for pelvic floor conditions, and $1.5K per year for MSK conditions. Armed with this defensible ROI story, Origin integrated the forecasts into their sales process, empowering their team with quantitative confidence for fee-for-service rate negotiations, value-based care planning, and strategic partnership discussions.

Frequently Asked Questions

Who do you typically work with?

Accorded works with providers, payers, ACOs, and even employers -- any entity contracting and managing risk in healthcare.

How is Accorded different from other actuarial consultants?

Accorded actuaries leverage industry-leading technology to accelerate analytical throughput and time to insight, unlocking our ability to develop bespoke solutions an order of magnitude faster than billable hours consulting teams.

How long does a typical engagement last?

Engagement length varies based on project scope. Benchmarking can turn around as quickly as 2 weeks, while more in-depth pricing model development or impact assessments might span 1-2 months.

Our Services

ROI Modeling

Cost of Care Benchmarking

Retrospective Impact Analysis

Pricing and Contracting Support

Forecasting

Case Studies

Oshi Health

About Oshi Health

Challenge

Solution

Impact

Novocardia

About Novocardia

Challenge

Solution

Impact

Origin

About Origin

Challenge

Solution

Impact

Frequently Asked Questions