Guidehouse-Acuity Partnership Pitch Deck
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Transforming Healthcare Through AI-Powered Value-Based Care

Strategic Partnership Proposal
GUIDEHOUSE
Consulting Excellence
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ACUITY.health
AI Innovation

Partnership Vision

Combining Guidehouse's deep healthcare expertise with Acuity's cutting-edge AI platform to accelerate value-based care transformation across the industry.

2/14
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The Value-Based Care Imperative

64%
of organizations expect rising VBC revenues in 2025
$4.2T
US healthcare spending annually
30%
potential cost reduction through VBC models

Market Drivers

Healthcare organizations rapidly shifting to value-based care models
Demand for innovative technology that improves outcomes while reducing costs
Need for minimal disruption to frontline teams

Key Challenges

Fragmented data across care settings
Retrospective analytics vs. predictive insights
Administrative burden on clinicians
3/15
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Value-Based Care Enablement Platform

Transforming participants into partners in value-based care

Acuity as VBC Participant

Technology-enabled participation in value-based contracts
Risk-sharing capabilities through predictive analytics
Direct engagement with payers for shared savings
Performance-based revenue optimization

Provider Enablement Strategy

Onboard providers as VBC participants
Technology platform reduces VBC complexity
Real-time performance tracking and optimization
Shared risk mitigation through AI-powered insights

VBE Partnership Model

Acuity creates Value-Based Enterprise (VBE) partnerships with payers by demonstrating measurable outcomes through technology. Providers benefit from reduced administrative burden and improved patient outcomes, while payers achieve cost savings and quality improvements.

Guidehouse Integration

Consulting expertise wraps around Acuity's technology
Contract negotiation and structure optimization
Implementation and change management support
Ongoing performance monitoring and adjustment

Outcome Delivery

Measurable reduction in total cost of care
Improved quality metrics and patient satisfaction
Sustainable shared savings for all participants
Scalable model for expanding VBC participation
4/15
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Acuity's VBC-Enabled AI Platform

Technology designed for value-based care success

Continuous Health Index (CHI)

AI-powered predictive risk engine analyzing 140+ data elements to predict adverse events up to 30 days in advance using transformer-based neural networks. Enables proactive interventions that directly impact VBC performance metrics.

Ambient Awareness

AI that listens, learns, and documents in real-time across all settings, helping generate clinical documentation and capture critical health signals at home. Reduces administrative costs while improving quality scores for VBC contracts.

Mission Control Dashboard

Unified command center providing real-time visibility into population health and value-based program performance. Tracks VBC metrics, shared savings, and quality outcomes in one integrated platform.

Nationwide Interoperability

Acuity is part of Commonwell, a national health information exchange called a QHIN (Qualified Health Information Network) which enables seamless data exchange across all care settings and EHRs. Essential for comprehensive VBC analytics and coordination.

5/15
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Continuous Health Index (CHI)

Predictive Intelligence That Transforms Care

How CHI Works

Multi-agent "mixture of experts" architecture
Specialized AI agents for different data domains
Health index generated for immediate identification of sickest patients
Predictive outcomes including pre-operative prediction prior to major surgery
Real-time updates with each new data point

Key Differentiators

Predictive vs. retrospective analytics
10-14 day advance warning of hospitalization
AI-first, physician-led and designed platform
Continuous real-time scoring
Both interpretable and ML models available
Seamless integration across all care settings

Competitive Advantage

"Dashboards are history. Acuity's CHI scores tell you who needs help now."

While competitors like Innovaccer, Arcadia, and Health Catalyst provide retrospective analytics, CHI proactively flags rising-risk patients in real-time, enabling interventions that prevent readmissions and improve outcomes.

5/14
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Ambient Clinical Awareness

AI that transforms every patient interaction into preventive care

Dual-Purpose Intelligence

Automated clinical documentation and OASIS autofill
Real-time scribe functionality during patient visits
Ambient awareness in home settings for patient engagement
Critical health signal detection and analysis

Hospitalization Prevention

Detects subtle changes in patient condition at home
Identifies early warning signs before clinical deterioration
Triggers proactive interventions to prevent admissions
Continuous monitoring through patient engagement platform

Home Setting Example

During a home health visit, Acuity's ambient AI hears the patient mention shortness of breath when climbing stairs. While automatically documenting this in the OASIS assessment, the system simultaneously flags this as a potential cardiac decompensation signal, alerts the care team, and triggers a proactive intervention protocol—potentially preventing a heart failure hospitalization.

Next Generation VBC Capability

Beyond documentation automation—Acuity's ambient intelligence actively prevents hospitalizations by detecting critical health signals in real-time, directly impacting VBC outcomes and transforming every patient interaction into a value-generating opportunity.

7/15
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Mission Control™

Real-time command center for value-based care operations

For Frontline Clinicians

Patient panel with CHI risk scores
Care gap alerts and upcoming tasks
Risk-based patient prioritization
Documentation completeness tracking

For Operational Leaders & Payers

Population-level CHI risk distribution
Hospitalizations and ER visits prevented
ROI metrics and cost savings
Performance tracking and trend analysis

VBC Command Center

Unlike competitors who provide separate modules for providers vs. payers, Mission Control ties together clinical decision support and VBC financial analytics in one interface. This unified approach enables transparent value-based partnerships with shared visibility into performance metrics and shared savings.

8/15
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Competitive Landscape Analysis

Platform Clinical Decision Support AI/ML Capabilities Patient Engagement Interoperability
Acuity.health ★★★★★ Real-time predictive alerts ★★★★★ Multi-agent AI, ambient NLP ★★★★☆ Integrated RPM alerts ★★★★★ TEFCA/QHIN enabled
Innovaccer ★★★★☆ Care gap alerts ★★★★★ Robust ML models ★★☆☆☆ Limited patient tools ★★★★★ 400+ connectors
Health Catalyst ★★★★☆ EHR-integrated alerts ★★★★☆ Rules-based analytics ★★☆☆☆ Basic outreach ★★★★☆ Custom ETL pipelines
Arcadia ★★★☆☆ Quality dashboards ★★★★☆ Population analytics ★★☆☆☆ Registry management ★★★★☆ EHR/claims integration
Navina Health ★★★★★ AI clinical copilot ★★★☆☆ Narrow clinic focus ☆☆☆☆☆ No patient tools ★★★☆☆ EHR-only data

Key VBC Differentiators

Ambient AI: Only platform with true ambient clinical listening enabling VBC participation
Real-time Predictive: Forward-looking risk scores drive VBC interventions vs. retrospective dashboards
End-to-End VBC Enablement: Complete value-based care platform in one solution
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Strategic Partnership Framework

Joint Go-to-Market Strategy

Co-develop targeting for IDNs, health systems, payers
Leverage Guidehouse's existing client relationships
Co-branded thought leadership and marketing
Joint sales team approach to key accounts

Deployment & Configuration

Project management and implementation support
Data integration and workflow configuration
User training and change management
CHI model validation and tuning

Co-Design VBC Frameworks

30-Day Readmission Reduction Programs
ACO Care Management Playbooks
Performance improvement programs powered by analytics
Contract alignment and optimization

EHR Enablement & Field Operations

Change management and clinical adoption
EHR vendor liaison and integration support
Mobile tool optimization for field staff
Operationalizing AI insights into daily practice

VBC-Focused Revenue Model

Acuity generates software subscription/licensing fees plus performance-based VBC participation revenue, while Guidehouse generates consulting/service fees. Joint value proposition delivers both cutting-edge platform and VBC expertise to create sustainable value-based partnerships.

10/15
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Guidehouse's Strategic Value

Accelerating adoption and maximizing impact
12,000+
Professionals globally
12+
KLAS-leading categories
50%
Faster market penetration

Rapid Client Adoption & Market Access

Extensive consulting footprint with existing relationships
Trusted advisor to C-suite executives
Endorsement shortens sales cycles significantly
Force multiplier for national go-to-market reach

Change Management & Clinical Adoption

Dedicated People & Change practice areas
Clinical workflow redesign expertise
Bridge gap between data science and care delivery
Continuous feedback loops and improvement

Model Validation & Continuous Improvement

Independent validation of CHI predictive models
Calibration and customization for local populations
KPI establishment and quarterly business reviews
ROI evidence generation for future sales

Scaling & Contractual Alignment

Standardized deployment best practices
National presence with local market knowledge
Payer-provider contract optimization
Integration with value-based contract requirements
11/15
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Home Health Value-Based Care

Purpose-built for HHVBP success

HHVBP-Specific Features

CHI tuned for home health risks (falls, wounds, readmissions)
RPM device integration via partners like Tenovi
OASIS autofill for improved documentation quality
30-day readmission prevention workflows

Outcome Improvements

Reduced hospital readmissions
Improved patient functional status
Enhanced patient satisfaction scores
Better CMS star ratings and compliance

Real-World Example

When CHI indicates a patient's condition is worsening, Acuity flags it on Mission Control so the home health team can intervene with an extra nursing visit or telehealth check-in before an ER visit occurs. ADT feeds notify the agency immediately if a patient shows up at the hospital.

VBC-Optimized for Home Health

While competitors were built for ACOs and large clinics, Acuity fills the gap by being purpose-built for extending value-based care into the home, addressing unique home health workflows and enabling HHVBP participation with direct VBC revenue opportunities.

11/14
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Acuity in Ambulatory Settings

Ambient awareness for primary care and clinic documentation

Ambient Documentation Engine

Tailored architecture for autofilling SOAP notes
QHIN connectivity autofills additional provider note sections
Auto-summarize patient records before visits
Highlight care gaps and overdue screenings
Suggest next-best actions and order sets

Patient Engagement & ROI

Same patient engagement platform used in home health
Remote patient monitoring ROI optimization
HCC coding and risk adjustment support
Undocumented diagnosis identification
Quality metrics improvement tracking
Panel management and patient outreach

VBC Workflow Integration Excellence

Acuity's ambient awareness seamlessly integrates into existing EHR workflows via SMART on FHIR apps, delivering AI-powered documentation and VBC-focused clinical insights directly within the provider's natural workflow. This eliminates context-switching and ensures VBC participation success, unlike competitors who provide analytics outside the care delivery experience.

Example Use Case

Physician opens patient chart, Acuity presents smart summary
Recent hospitalizations and active problems highlighted
Care gaps identified (missing HbA1c test)
CHI risk alerts (10-14 day hospitalization risk)
SOAP note auto-populated during visit

Unified Platform Benefits

AI-driven identification of who to engage
Automated reminder texts and educational messages
Chronic care management program augmentation
Quality metrics improvement (visit rates, screenings)
Cross-setting continuity with home health platform
13/15
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Financial Impact & ROI

Demonstrable value creation across care settings
25-40%
Reduction in readmissions
2-4 hrs
Daily time savings per clinician
$2-5M
Annual cost avoidance per health system

Cost Savings

Prevented hospital admissions and readmissions
Reduced administrative burden and overtime costs
Improved documentation accuracy and compliance
Enhanced risk adjustment and coding capture

Revenue Enhancement

Value-based care bonus payments
Improved quality scores and star ratings
Shared savings program participation
Optimized reimbursement through better coding

VBC ROI: 300-500% in Year 1

Based on combination of cost avoidance, revenue enhancement, and value-based care shared savings across all care settings

Value Creation Examples

Home Health Agency: 30% reduction in readmissions = $500K annual savings
Primary Care Group: 3 hours/day time savings = $200K annual labor cost reduction
Health System: Improved HCC coding = $1M additional revenue
14/15
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Implementation Roadmap

Structured approach to successful deployment

Phase 1: Foundation (Months 1-3)

Data integration and FHIR/HIE connectivity setup
CHI model validation on historical data
Mission Control dashboard configuration
Pilot user group identification and training

Phase 2: Deployment (Months 4-6)

Ambient documentation rollout and testing
EHR integration and workflow optimization
Comprehensive staff training and change management
Performance monitoring and initial optimization

Phase 3: Optimization (Months 7-9)

Full-scale deployment across all users
Advanced analytics and reporting capabilities
ROI measurement and validation studies
Continuous improvement and feature enhancement

Phase 4: Scale (Months 10-12)

Multi-site deployment (if applicable)
Advanced AI features and customization
Strategic planning for expansion
Best practices documentation and knowledge sharing

Guidehouse's VBC-Focused Role

Project Management: End-to-end VBC implementation oversight
Change Management: VBC adoption and training programs
Contract Optimization: VBC contract negotiation and structure
Performance Tracking: VBC metrics monitoring and shared savings optimization
15/15
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Ready to Transform Healthcare

The future of value-based care is here

Why This VBC Partnership Matters

Unprecedented VBC Capabilities: Ambient documentation and predictive analytics enabling true VBC participation
Proven VBC Implementation: Guidehouse's track record in value-based care transformations
Complete VBC Solution: End-to-end value-based care enablement platform
VBC Market Leadership: First-mover advantage in AI-powered value-based care participation
64%
of organizations expect rising VBC revenues
NOW
is the time to act
∞
Potential for impact

Next Steps

Let's empower providers and payers to participate in value-based care, optimize outcomes, and share in the savings that Acuity's platform enables.

Together, we can transform healthcare delivery into a thriving value-based care ecosystem.
.9;"> Together, we can transform healthcare delivery and achieve measurable outcomes that matter.

Respectfully submitted,
Srinivas Nimmagadda, M.D.
Chief Executive Officer, Acuity.health