Eliminating Actuarial Drift in Value-Based Care

Scaling VBC requires a transition from "guesses" to Ground Truth. RegenMed provides the decentralized infrastructure to eliminate the Inference Gap in risk-bearing contracts — ensuring that cost-savings and clinical outcomes are verified through Deterministic Evidence minted at the source.

The Cost of "Data Exhaust" in Risk-Bearing Contracts

The Problem: Most VBC models today are built on "Secondary Data Sets" — claims, billing codes, and administrative notes that were never intended for clinical validation.
The Actuarial Deficits:
The Inference Trap
Payers are forced to infer clinical outcomes from ICD-10 and CPT codes, leading to high-variance results and "Actuarial Drift" where actual costs decouple from predicted risk.
The Sustainability Test
High administrative documentation burdens (prior auth and audits) erode the thin margins of VBC contracts, leading to network attrition and "quiet" revenue erosion for the providers.
The Sin of Commission
Without real-time verification, VBC models can inadvertently incentivize "checking boxes" rather than delivering high-fidelity clinical results.

Verified Outcomes as a Settlement Layer

The Solution: We replace "trust-based" risk models with engineering solutions.  By Structuring at the Source, we provide the deterministic evidence that allows a Payer’s risk model to "learn" and adjust in real-time.
The Risk-Stabilization Rails:
Deterministic Integrity
Outcomes are minted during the patient encounter, providing a 0% "inference risk" dataset for clinical adjudication and financial settlement.
Zero-Copy Federated Infrastructure
Secure, localized data capture ensures that patient-level veracity is maintained without the latency of centralized "data swamps".
Fee-for-Veracity Settlement
A new reimbursement rail where VBC bonuses and risk adjustments are tied to verifiable clinical mastery, not administrative codes.

Predictable Scaling

Stabilizing Network Margins

Protect your provider network from the "Sustainability Test" by capturing VBC compliance data as a byproduct of care, reducing their administrative overhead.

Bridging the Coverage Gap

Authorize innovative treatments within a VBC framework by utilizing longitudinal verification to track the real-world effectiveness and cost-offsets of high-value interventions.

Actuarial Certainty

Move from "probabilistic guesses" to "deterministic truth," allowing your organization to sign more aggressive, high-margin risk contracts with confidence.

The Infrastructure for Verifiable Healthcare

1.4m+
Structured Datapoints
75+
Active Specialty Protocols
3X
YoY VBC Authorization Growth
The Evidence Vault
Access the White Paper on Scaling VBC with Deterministic Evidence and our technical guide on "Eliminating Inference Risk in Managed Partnerships".
Visit The Vault

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