Acuity Value-Based Care
Strategic Market Entry & Partnership Opportunities
Proof of Concept
Guidehouse Partnership Strategy | July 2025
01
$847B Market Opportunity: Home Health VBC Transformation
22-27%
CHF 30-Day Readmission Rate
$15-25K
Cost Per Avoided Hospitalization
80-90%
Potential Documentation Time Reduction with AI
Regulatory Enablement
OIG safe harbor rules now explicitly allow technology companies to participate in Value-Based Enterprises, creating compliant partnership pathways
Technology Stack
Acuity's integrated platform addresses all VBC requirements: RPM, ambient documentation, clinical intelligence, and care coordination
Immediate ROI Potential
Pilot targeting 50% reduction in CHF readmissions with validated 12-month implementation roadmap. Full ROI also obtained from remote patient monitoring (RPM)
06
Acuity's VBC Enablement Platform
Interoperability & EHR Integration
• Seamless bi-directional data exchange with KanTime and 125+ EMR partners
• FHIR, HL7, and C-CDA standards compliance
• Real-time admission, medication, and OASIS data synchronization
• Eliminates redundant data entry across care settings
• FHIR, HL7, and C-CDA standards compliance
• Real-time admission, medication, and OASIS data synchronization
• Eliminates redundant data entry across care settings
Remote Patient Monitoring (RPM)
• Connected devices: weight scales, BP cuffs, pulse oximeters
• Real-time alert system with personalized thresholds
• Early intervention protocols for CHF decompensation
• Medicare-reimbursable chronic care management codes
• Real-time alert system with personalized thresholds
• Early intervention protocols for CHF decompensation
• Medicare-reimbursable chronic care management codes
Continuous Health Index (CHI)
• AI-powered risk stratification and predictive modeling
• Clinical decision support at point of care
• Real-time outcomes tracking and MoE reporting
• Evidence-based therapy optimization prompts
• Clinical decision support at point of care
• Real-time outcomes tracking and MoE reporting
• Evidence-based therapy optimization prompts
SmartAssist™
• Automated OASIS-E assessment documentation
• 80-90% reduction in clinician documentation time
• Voice command integration for hands-free operation
• Improved accuracy and completeness of clinical records
• 80-90% reduction in clinician documentation time
• Voice command integration for hands-free operation
• Improved accuracy and completeness of clinical records
Mission Control™
• Centralized population health management
• Real-time patient status and alert monitoring
• Exception-based care coordination workflows
• Performance metrics and quality oversight tools
• Real-time patient status and alert monitoring
• Exception-based care coordination workflows
• Performance metrics and quality oversight tools
Patient Engagement Suite
• Mobile app with educational resources and reminders
• Symptom reporting and virtual visit capabilities
• Secure messaging and family caregiver support
• Gamification elements to drive adherence
• Symptom reporting and virtual visit capabilities
• Secure messaging and family caregiver support
• Gamification elements to drive adherence
End-to-End Technology Stack
Complete VBC transformation from clinical workflows to outcome measurement
02
Three Strategic Market Entry Points
Direct Provider Transformation
Target: Mid-to-large home health agencies (500+ patients)
Approach: End-to-end VBC enablement with Acuity platform
Timeline: 12-month POC → Full deployment
Revenue Model: Technology licensing + success-based fees
Approach: End-to-end VBC enablement with Acuity platform
Timeline: 12-month POC → Full deployment
Revenue Model: Technology licensing + success-based fees
Health System Partnerships
Target: Health systems seeking post-acute optimization
Approach: White-label Acuity platform for captive home health
Timeline: 6-month pilot → System-wide rollout
Revenue Model: Enterprise licensing + shared savings
Approach: White-label Acuity platform for captive home health
Timeline: 6-month pilot → System-wide rollout
Revenue Model: Enterprise licensing + shared savings
Payer-Sponsored Networks
Target: Medicare Advantage plans and ACOs
Approach: Technology-enabled provider network optimization
Timeline: 18-month network transformation
Revenue Model: Per-member-per-month + performance bonuses
Approach: Technology-enabled provider network optimization
Timeline: 18-month network transformation
Revenue Model: Per-member-per-month + performance bonuses
03
Recommended First Move: Home Health Pilot
Why Home Health First?
• Existing Acuity deployment infrastructure
• Favorable regulatory environment for VBEs
• High CHF prevalence + accessibility challenges
• Strong market penetration opportunity
• Favorable regulatory environment for VBEs
• High CHF prevalence + accessibility challenges
• Strong market penetration opportunity
Target Partner Profile
• 500-2,000 patient census home health agency
• Existing hospital partnerships
• KanTime EMR implementation (seamless integration)
• Quality-focused leadership team
• Existing hospital partnerships
• KanTime EMR implementation (seamless integration)
• Quality-focused leadership team
Partner ID
Month 1-2
VBE Setup
Month 2-3
Tech Integration
Month 4-6
Pilot Results
Month 12
Immediate Next Steps (30 Days)
1. Identify 3-5 Texas home health targets
2. Schedule Acuity platform demos
3. Develop VBE legal framework
4. Create pilot business case template
5. Secure hospital partner commitments
6. Design outcome measurement protocols
04
Competitive Moat & Market Barriers
Defensible Technology Stack
• Only platform with native OASIS-E ambient documentation
• Deep KanTime integration (125+ EMR partners)
• Proprietary CHF risk stratification algorithms
• FDA-cleared RPM device ecosystem
• Deep KanTime integration (125+ EMR partners)
• Proprietary CHF risk stratification algorithms
• FDA-cleared RPM device ecosystem
Speed to Market
• Existing deployment infrastructure vs. 18-24 month competitor builds
• Proven regulatory pathway (OIG safe harbor compliance)
• Ready clinical protocols for CHF population
• Established payer relationships for reimbursement
• Proven regulatory pathway (OIG safe harbor compliance)
• Ready clinical protocols for CHF population
• Established payer relationships for reimbursement
Market Entry Barriers
• Complex regulatory landscape (Anti-Kickback, Stark Law)
• High switching costs for incumbent EMR systems
• Clinical workflow integration complexity
• Long sales cycles (12-18 months average)
• High switching costs for incumbent EMR systems
• Clinical workflow integration complexity
• Long sales cycles (12-18 months average)
Competitive Window: 12-18 Months
Major health tech players (Epic, Cerner, Allscripts) are 24+ months away from comparable offerings
05
Investment Thesis & Immediate Actions
$2-5M
Initial Investment (12-Month Pilot)
18-24x
Projected ROI (3-Year Horizon)
50+
Scalable Home Health Partners
Immediate Action Plan (Next 60 Days)
Week 1-2: Secure Acuity partnership agreement
Week 3-4: Identify lead home health partner
Week 5-6: Develop pilot financial model
Week 7-8: Execute LOI with pilot partner
Week 9-10: Establish payer engagement strategy
Week 11-12: Finalize regulatory compliance framework
Why Act Now?
• First-mover advantage in VBC transformation market
• Regulatory tailwinds supporting technology enablement
• Proven technology platform ready for scale
• Clear path to $100M+ revenue within 36 months
• Regulatory tailwinds supporting technology enablement
• Proven technology platform ready for scale
• Clear path to $100M+ revenue within 36 months
Success Metrics (12 Months)
• 25% reduction in CHF readmissions
• 40% improvement in documentation efficiency
• 90%+ patient satisfaction scores
• 15%+ cost savings for payer partners
• 40% improvement in documentation efficiency
• 90%+ patient satisfaction scores
• 15%+ cost savings for payer partners
Strategic Partnership Opportunity
Recommendation: Explore home health pilot as primary market entry strategy
Next Meeting: Strategy & Partner Selection
Timeline: 2 weeks for discussion