Arcadia has received a MedTech Breakthrough Award for its contract analytics technology, which helps healthcare organizations manage performance-based contracts, improve financial forecasting, and reduce reliance on external actuarial services.
MedTech Breakthrough is an independent market intelligence organization that recognizes the top companies, technologies, and products in the global health and medical technology market. Arcadia is honored to be recognized among the companies driving innovation in digital health and medical technology.
Arcadia’s finance and contracting solution, delivered as a value-added solution within Arcadia’s healthcare performance platform, simplifies the design, negotiation, and forecasting of performance-based contracts by bringing finance, clinical, and operational stakeholders together in a single interface. Decision-makers collaborate in real time and data becomes discoverable and actionable across teams, turning contract management into an active, strategic practice rather than a passive administrative task.
Unlike tooling-plus-services models that rely on external actuarial expertise, Arcadia’s finance and contracting solution empowers organizations to take full control of their contracting. By automating time-consuming manual processes such as in-year financial forecasting, the solution enables organizations to easily model “what-if” scenarios, identify blind spots, and proactively course-correct well before final reconciliation. This integrated approach scales efficiently and minimizes dependencies, enabling organizations to continuously operationalize contract performance instead of treating it as a one-time exercise.
Key Results
Arcadia’s finance and contracting solution is built on methods that draw from comprehensive claims data, risk adjustment, and continuous validation against actual performance. Arcadia’s forecasts consistently perform within a narrow margin of variance and can reduce reliance on third-party actuarial services, cutting external actuarial spend by up to $60,000 per month, according to Arcadia’s analysis of market data. Together, this combination of accuracy and cost reduction gives organizations greater confidence in financial predictability and contract negotiations.
As we celebrate this recognition, we also wish to celebrate our partnership with Ochsner Health Network, which partnered with Arcadia to co-develop contract analytics to ensure it reflected real-world contracting demands. Ochsner manages more than a dozen value-based contracts across multiple payers, creating significant complexity and limited visibility into key financial levers. A clearer, more accurate view of contract performance and financial health enabled Ochsner to move from reactive reconciliation to proactive financial management.
“Arcadia’s contract analytics platform for value-based care allows me to bring in all of the revenue and premium components, subtract the expense information, and actually provide a true financial picture for us,” Julie Grantz, Vice President of Value-Based Insights at Ochsner Health Network, told Healthcare Innovation. “It helps us forecast performance during the year so we can course correct well in advance of receiving final results. I can now tell our provider network what they can expect to earn based on current performance – something we were never able to do before when we relied solely on what payers told us.”
As providers assume greater financial risk, healthcare organizations increasingly need tools that connect contract performance, forecasting, and operational decision-making in real time. Arcadia’s technology helps provider organizations manage contract complexity with greater accuracy and operational visibility.
“Many providers today are operating on razor-thin margins, with some reporting figures as low as 1-2%. Value-based care looks like the path forward, but the road to success is harder than most organizations anticipate. The data infrastructure often isn't ready, the contracts are more complex than they appear, and the actuarial sophistication required to negotiate favorable terms is a capability most provider organizations are still building. Most find themselves caught between the pressure to transform and the operational reality of not being equipped to absorb downside risk,” said Benjamin Cassity, Research Director, Value-Based Care, KLAS Research.
“What can close that gap is the right combination of strategic partnerships and tools that provide enough transparency and forward visibility to make sound decisions before the stakes get too high,” Cassity continued.
Arcadia celebrates this recognition alongside other industry innovators recognized by the MedTech Breakthrough Award Program, including b.well, Athenahealth, CVS Aetna, Datavant, Noom, and Teladoc.
Learn more about Arcadia’s contract analytics and value-based care contracting platform.
Healthcare contract analytics helps provider organizations evaluate, forecast, and manage performance-based contracts. By combining claims data, risk adjustment insights, and operational performance metrics, contract analytics enables healthcare organizations to better understand contract terms, identify financial risks, and make informed decisions throughout the contract lifecycle.
Arcadia’s contract analytics capabilities are designed to help organizations move from reactive reconciliation to proactive financial management.
Arcadia’s finance and contracting solution simplifies the design, negotiation, and forecasting of performance-based healthcare contracts by bringing finance, clinical, and operational stakeholders together in a single interface.
The platform enables organizations to:
By automating manual forecasting processes and providing greater visibility into contract performance, Arcadia helps healthcare organizations make more informed strategic and financial decisions.
Arcadia received the “Best Health Network Technology Implementation” award in the annual MedTech Breakthrough Awards program.
The recognition highlights Arcadia’s innovation in healthcare finance and contracting, including its performance-based analytics capabilities that help organizations improve financial predictability, reduce operational complexity, and proactively manage outcomes.
Arcadia’s finance and contracting solution uses comprehensive claims data, risk adjustment methodologies, and continuous validation against actual performance to improve forecasting accuracy.
By automating in-year financial forecasting and providing organizations with direct access to contract performance insights, the platform can reduce reliance on external actuarial services. According to Arcadia’s analysis of market data, organizations may reduce external actuarial spending by up to $60,000 per month.
This enables healthcare organizations to gain faster financial visibility while lowering operational costs associated with contract management.