Healthcare Services Division

Value-Based Care Leadership

Capturing the $6.16T value-based care market with AI-driven risk stratification, integrated behavioral health, and superior patient outcomes that deliver 40-60% shared savings to stakeholders.

$6.16T
Market Size by 2030
7.4%
CAGR Through 2030
40-60%
Shared Savings Capture
60 Days
Earlier Risk Identification
Healthcare Professionals Walking to Their Examination Rooms, Reception Desk, ICU Units in a Modern Bright Hospital Corridor. Female Doctor Showing a Young Male Surgeon Information on a Tablet

Advanced Care Coordination

Market Position

Leading participant in the rapidly expanding value-based care ecosystem with proprietary technology and proven clinical outcomes.

Quality Metrics

Real-time performance tracking on HEDIS measures, readmission rates, and patient satisfaction scores exceeding industry benchmarks.

Value-Based Care Leadership

Market Position & Financial Performance

Strategic positioning in the $6.16T value-based care market with proven financial metrics and competitive advantages that drive sustainable growth.

Market Opportunity

Current Market Value (2024) $4.01T
Projected Market Value (2030) $6.16T
Annual Growth Rate (CAGR) 7.4%
ACO Market Share 45%

Shared Savings Model

40-60%

Cost Savings Capture Rate

25%

Readmission Reduction

30%

Cost Per Episode

Revenue Model: Direct capture of 40-60% of cost savings generated through improved patient outcomes, preventive care, and care coordination.

Strategic Payer Mix

Diversified revenue streams across multiple payer categories with optimized margin profiles

Medicaid

35%

Stable recurring revenue base with $871.7B annual spending

Growth: 5.5% in FY 2024
Per Enrollee: $4,754-$12,314

Medicare Advantage

48%

Higher margin segment with $1.03T total Medicare spending

Market Share: 48.48% growth
Premium Rates: 15-25% above traditional

Commercial Insurance

17%

Premium rates with highest per-member margins

Margin Premium: 40-60% above Medicaid
Growth Potential: High-value employer groups
Competitive Advantages

Technology-Driven Differentiators

Proprietary AI systems and integrated care models that deliver measurable outcomes and competitive advantages in the evolving healthcare landscape.

AI-Driven Risk Stratification

60 Days Earlier Detection

60

Days Earlier Risk ID

35%

Cost Reduction

Our proprietary AI algorithms analyze patient data patterns to identify high-risk patients 60 days earlier than traditional methods, enabling proactive intervention and significant cost savings.

Quantified Impact: $2,500-$4,200 average cost savings per high-risk patient through early intervention protocols.

Integrated Behavioral Health

70% Market Capture

70%

Patients with BH Needs

25%

Revenue Uplift

With 70% of primary care patients having behavioral health needs, our integrated model captures this significant revenue opportunity while improving patient outcomes.

Revenue Impact: 25% average revenue increase per patient through comprehensive behavioral health integration.

Telehealth Excellence

30-40% Virtual Visits

35%

Virtual Visit Rate

$125

Cost Reduction/Patient

Our telehealth platform achieves 30-40% virtual visit rates, reducing facility costs by $125 per patient while maintaining high satisfaction scores.

Growth Projection: Telehealth services growing at 24.55% CAGR, positioning us for accelerated margin expansion.

Network Efficiency

Below Market Benchmarks

15%

Below Market Cost

92%

Quality Score

Our network efficiency metrics demonstrate 15% lower cost per episode of care versus market benchmarks while maintaining 92% quality scores.

Competitive Edge: Superior care coordination and provider network optimization driving sustainable cost advantages.

Technology-First Approach

93% of healthcare executives prioritize real-time data analytics - our platform delivers this capability with proprietary AI and integrated care management systems.

Financial Transparency

Investor-Grade Financial Metrics

Comprehensive financial performance data and growth projections that demonstrate sustainable revenue models and scalable operations.

Revenue per Patient

Medicaid $8,200/year
Medicare Advantage $12,500/year
Commercial $15,800/year

YoY Growth: 12.5% average across all payer categories

CAC vs LTV

$425

Patient Acquisition Cost

$28,500

Lifetime Value (3 years)

LTV:CAC Ratio: 67:1 - Industry leading efficiency

Retention Rate: 89% after 24 months

Unit Economics

Time to Breakeven 18 months
Contribution Margin 42%
Mature Clinic EBITDA 38%

Scalability: 15% improvement in margins with each new location

Contract Pipeline & Revenue Visibility

Strong forward revenue visibility with expanding contract base and strategic partnerships

$2.4M

Signed Contracts

12-month pipeline

$1.8M

Advanced Negotiations

6-month close timeline

15

Active Payer Partners

Multi-state coverage

85%

Contract Renewal Rate

High client retention

Revenue Growth Projections

$3.2M

2024 Revenue

$8.5M

2025 Projected

$18.2M

2026 Target

Market Outlook

Long-Term Growth Projections

Healthcare spending projected to reach $5.6T by 2025 and $8.6T by 2033, with value-based care models driving the transformation.

National Health Spending

2025 Projection $5.6T
2033 Projection $8.6T
Medicaid Growth (2028-33) 6.2% CAGR
Per Enrollee Growth (2024) 15.2%

Value-Based Care Evolution

$8.55T

Market Size by 2034

31.69%

Patient-Centered Medical Homes

70%

Cloud-Based Deployment

Strategic Position: 93% of executives prioritize real-time data analytics - positioning us at the forefront of industry evolution.

Medicaid Market Leadership

$909B

Total Medicaid Spending FFY 2024

$244B

Dual-Eligible Spending

>50%

Managed Care Capitation

35%

Midwest Market Share

Our strategic focus on Medicaid managed care positions us to capture significant market share in a $909B annual market with strong state fiscal conditions supporting continued growth.

Market Research & Data Sources

Value-Based Care Market Analysis

Grand View Research

U.S. Value-Based Healthcare Market ($6.16T by 2030, 7.4% CAGR)

Mordor Intelligence

Market Analysis & Telehealth Growth (24.55% CAGR)

P&S Intelligence

Cloud-based deployment (70% market share), ACO analysis

Nova One Advisor

Long-term projections ($8.55T by 2034)

Healthcare Spending & Medicaid Data

CMS National Health Expenditure

Medicaid $871.7B (2023), Medicare $1.03T spending data

KFF Medicaid Analysis

Enrollment trends, spending growth (5.5% FY 2024)

MACPAC Data Book 2024

Comprehensive Medicaid spending ($900.3B FY 2023)

Peterson-KFF Health System Tracker

Health spending growth projections through 2033

Investment Opportunity

Position yourself at the forefront of the $6.16T value-based care transformation with proven financial metrics and scalable operations.