Arbital Health Company Profile

Background

Mission and Vision

Arbital Health is dedicated to accelerating the transition to value-based care by serving as a neutral third-party adjudicator for outcomes-based contracts. The company's mission is to simplify and expedite this shift by providing a platform that enables stakeholders to design, measure, and adjudicate value-based contracts effectively.

Primary Focus and Industry Significance

Founded in November 2023 by Travis May and Brian Overstreet, Arbital Health addresses the critical challenge of misaligned incentives in healthcare. By centralizing, predicting, adjudicating, and improving contract performance, the company aims to unlock and accelerate the trillion-dollar shift to value-based care.

Key Strategic Focus

Core Objectives and Specialization

Arbital Health focuses on:

Centralizing Contracts: Providing a unified platform for managing all value-based care contracts.

Predicting Financial Outcomes: Utilizing advanced analytics to forecast contract performance.

Adjudicating Contracts: Ensuring fair and accurate assessment of contract outcomes.

Improving Patient Outcomes: Aligning financial incentives with patient health improvements.

Key Technologies Utilized

The company's platform leverages actuarial science and advanced technology to automate value-based contract adjudication at scale.

Primary Markets Targeted

Arbital Health serves:

Providers: Including point solution vendors, Accountable Care Organizations (ACOs), and Managed Services Organizations (MSOs).

Payers: Such as health plans and employers.

Value-Based Care Enablers: Organizations facilitating the transition to value-based care.

Employers: Managing healthcare benefits for employees.

Financials and Funding

Funding History

In January 2024, Arbital Health completed a $10 million Series A financing round led by Transformation Capital, with participation from Shaper Capital, Healthy Ventures, and other investors.

Utilization of Capital

The funds have been allocated towards:

Acquisitions: Including the purchase of Santa Barbara Actuaries to enhance actuarial capabilities.

Platform Development: Launching and refining the value-based care adjudication platform.

Talent Acquisition: Expanding the team with experienced professionals in value-based care.

Pipeline Development

Key Developments

Platform Launch: In April 2024, Arbital Health debuted its adjudication platform, enabling secure data sharing and contract adjudication to simplify value-based care arrangements.

Client Acquisition: Since its launch, the company has added 30 new clients and adjudicated 250 value-based care contracts.

Technological Platform and Innovation

Proprietary Technologies

Arbital Health's platform is built on actuarial science, automating value-based contract adjudication at scale.

Significant Scientific Methods

The platform employs advanced analytics and machine learning algorithms to enhance the accuracy and fairness of outcomes-based healthcare contracts.

Leadership Team

Brian Overstreet: Co-Founder, Chief Executive Officer, Chief Financial Officer, President, and Board Member.

Travis May: Co-Founder and Chairman.

Ian Duncan: Chief Actuary and Board Member.

Jesica Freeman: Chief Product Officer.

Robert Stewart: Chief Technology Officer.

Leadership Changes

In January 2025, Arbital Health appointed Tim Smith, ASA, MAAA, as Chief Actuary following the acquisition of his actuarial team. Smith brings decades of experience in actuarial analysis, medical economics, and data science.

Competitor Profile

Market Insights and Dynamics

The healthcare technology sector is highly competitive, with significant players like Epic Systems and Cerner holding substantial market shares. The global healthcare IT market is projected to grow from $252 billion in 2022 to $405 billion by 2027, representing a Compound Annual Growth Rate (CAGR) of approximately 10.4%.

Competitor Analysis

Arbital Health faces competition from companies such as Accorded and Nuna, which also focus on value-based care solutions.

Strategic Collaborations and Partnerships

HarmonyCares: In February 2025, Arbital Health partnered with HarmonyCares to scale value-based care for in-home services, streamlining contract reconciliation and performance monitoring.

Quartet Health: In October 2024, the company collaborated with Quartet Health to expand severe mental illness value-based care arrangements, supporting the growth of Quartet's Whole Health program.

Operational Insights

Strategic Considerations

Arbital Health's neutral third-party position provides a distinct competitive advantage by fostering trust and transparency among stakeholders. The company's focus on automating complex contract adjudications allows clients to concentrate on patient care rather than administrative complexities.

Strategic Opportunities and Future Directions

Strategic Roadmap

Arbital Health aims to continue expanding its platform capabilities, forming strategic partnerships, and enhancing its actuarial expertise to solidify its position as a leader in value-based care. The company's commitment to innovation and neutrality positions it well to capitalize on the growing demand for value-based care solutions.