Eliminating "Value Uncertainty" in high-cost clinical interventions. RegenMed provides the decentralized infrastructure to verify clinical outcomes in real-time — replacing the "inference-based" denials of the past with a deterministic evidence layer that ensures every dollar spent is tied to a verifiable result.
The Problem: Carriers currently rely on "Data Exhaust" — secondary information from billing codes and administrative claims — to judge the value of innovative care. Because this data requires "inference" rather than direct observation, it creates systemic friction.
The Consequences for the Payer:
The Sin of Commission
Carriers inadvertently fund low-value care because it fits into "pre-negotiated" static rulebooks that are easier to administer than innovative alternatives.
The Sin of Omission
Payers face reputational and legal risk when denying FDA-approved "breakthrough" treatments simply because legacy datasets cannot prove their longitudinal effectiveness.
Actuarial Drift
The inability to track high-fidelity outcomes at the source leads to "value uncertainty," making it impossible to scale Value-Based Care (VBC) contracts with confidence.
Fee-for-Veracity: Moving Beyond the Static Rulebook
The Solution: We replace "trust-based" arguments with engineering solutions. By Structuring at the Source, we provide the deterministic evidence required to adjudicate value without the administrative "hoops" of the past.
The Payer Rails:
Deterministic Adjudication
Outcomes are "minted" at the point of care, providing unrefutable proof of effectiveness that allows for immediate coverage authorization.
Real-World Verification
Bridge the "Inference Gap" between regulatory approval and commercial coverage with high-fidelity, longitudinal datasets captured directly from physician masters.
Zero-Lift Compliance
Eliminate the "Sustainability Test" for providers by capturing necessary compliance data as a byproduct of their clinical workflow, improving network participation and satisfaction.
Risk-Mitigation Solutions
Outcome Adjudication
Verify High-Cost Care
Transition from prior-auth "hoops" to automated adjudication based on minted Ground Truth.
