ACUITY.health
The AI-Native Intelligence Layer for Value-Based Care
Core Positioning
"Renova delivers care — Acuity powers that care with precision."
We're not competing for patients. We're the technology and data platform that enables CCM, PCM, BHI, and RPM models to scale, automate, and improve ROI.
The Three-Layer VBC Stack
A complete ecosystem from care delivery to financial optimization
| Entity | Primary Role | Value in the Stack | Risk-Bearing Status |
|---|---|---|---|
| Renova Health | Clinical Execution Arm | Owns patient relationships and provider network; executes CCM, RPM, care coordination | ✅ Yes - Clinical accountability |
| Acuity.health | Intelligence & Analytics Engine | CHI population intelligence, predictive analytics, CDS automation | ✅ Yes - Outcome enablement |
| HPA | Financial & Contract Optimizer | Payer relationships, contract structuring, performance reporting | ❌ No - Advisory/Management role |
The Perfect Formula
"Renova executes care → Acuity quantifies value → HPA monetizes it with payers"
That's a self-contained VBC ecosystem — no other external vendor needed.
HPA Partnership Framework
Aligned incentives for scaled success
Recognition & Role
VBC Performance Administrator
- • Contract Performance oversight
- • Financial reconciliation
- • Payer relationship management
- • Co-branding on VBC Alliance
Compensation Model
Performance-Tied Structure
- • 1-3% administrative fee
- • Tied to outcome milestones
- • Based on shared savings
- • Not fixed cost burden
Access & Expansion
Strategic Channel Partner
- • Governed CHI dashboard access
- • Preferred partner status
- • Channel for CCM network expansion
- • Joint go-to-market strategy
Strategic Positioning
"We see this as a structured VBC Alliance — Renova and Acuity as the risk participants, with HPA as the financial and performance intelligence partner. There's a way to align incentives as we scale."
The Real Opportunity: 30,000 Relationships
Each life connects to a provider group — that's your distribution channel
Lives Today
Renova's current book
Provider Groups
Immediate targets
Groups in 12 Months
Scalable distribution
Provider Group Activation Strategy
| Step | Actor | Action | Outcome |
|---|---|---|---|
| 1. Identify | Renova | List all provider groups managing their 30k patients | Rollout sequence defined |
| 2. Introduce | Renova + Acuity | Present Acuity as the new predictive layer | Provider buy-in achieved |
| 3. Replace | Acuity | Implement CHI + 5-tier dashboards | Real-time risk visibility |
| 4. Prove | HPA | Track quality & cost metrics | VBC performance validated |
| 5. Expand | All Partners | Scale from enrolled → full panel | Population-wide analytics |
Strategic Differentiation
| Dimension | Acuity.health | Renova Health |
|---|---|---|
| Core Function | AI-native VBC enablement platform with predictive analytics, CHI engine, unified CDS | Operational care management organization with human teams |
| Population Reach | Full-population predictive and longitudinal analytics | Focused on CCM and high-risk Medicare populations |
| Technology Layer | Proprietary CHI, multi-agent AI, QHIN interoperability, digital twin | Existing EHR/care management platforms |
| Goal | System-level optimization for ACOs, health systems, payers | Patient-level management within selected cohorts |
| Edge | Scalable, explainable AI: data → prediction → intervention | Care operations team delivering human-centered care |
The CHI Engine: Your Provider Adoption Hook
Instant population understanding without AI literacy
The Message to Physicians:
"We show you exactly where each patient sits in your population today — and how their risk changes week to week. It's not abstract AI; it's a clinical management tool."
Focus on prevention, keep them healthy
Address gaps before chronicity develops
Active CCM cohort requiring management
Requires multi-specialty coordination
Immediate care management needed
Overcoming Provider Objections
Your leverage: Renova's credibility + Acuity's superiority + HPA's validation
"We already have tech"
Your Response:
"That's great — but your current system reports what already happened. Acuity predicts what will happen next."
"We don't want to switch"
Your Response:
"You don't have to — Acuity integrates with your EHR and Renova's systems to show population risk instantly."
"We're worried about compliance"
Your Response:
"Acuity is built on QHIN and FHIR standards, ensuring full interoperability and CMS compliance."
"How does this help revenue?"
Your Response:
"CHI tiering aligns directly to VBC payments and shared savings — you'll see measurable ROI per tier."
The Credible Triad
- Renova acts as the sponsor and advocate
- Acuity acts as the platform
- HPA acts as the metrics verifier
Providers listen to credible triads.
CCM vs. True Value-Based Care
Traditional CCM Model
- 📊 Narrow cohort (high-risk Medicare)
- 💰 Fee-for-service codes (99490, etc.)
- 📈 Retrospective, case-by-case analytics
- 🎯 Care coordination for reimbursement
- 📝 Episodic, patient-level data
Acuity-Powered VBC
- 🌐 Full attributed population
- 💎 Shared savings/risk contracts
- 🔮 Predictive, prospective, continuous
- 🚀 Total cost of care reduction
- 🔄 Population-level integration
7 Ways Acuity Transforms Renova's Operations
Transform narrow CCM cohorts into comprehensive population views across all risk tiers
Identify rising-risk patients before they become high-cost, optimize resource allocation
Surface medication issues, care gaps, and intervention opportunities automatically
Single interface connecting symptoms, diagnoses, meds, labs, vitals, and SDH data
Track risk-tier movement, readmissions, CHI trends, and cost-of-care metrics
Continuous patient connection beyond monthly calls through personalized health mirrors
Provide the analytics backbone for outcomes-based contracts and payer partnerships
Technical Architecture & Capabilities
🔄 Data Integration Layer
- • QHIN/Carequality Network
- • EHR Interoperability (FHIR)
- • Claims & ADT Feeds
- • RPM Device Integration
- • Social Determinants Data
🧠 AI/ML Engine
- • Multi-Agent AI Architecture
- • Continuous Health Index (CHI)
- • Predictive Risk Models
- • NLP for Clinical Notes
- • Trajectory Forecasting
⚡ Clinical Decision Support
- • Real-time Alerts
- • Care Gap Identification
- • Med Reconciliation
- • Evidence-Based Protocols
- • Automated Workflows
📊 Analytics & Reporting
- • Population Dashboards
- • Quality Metrics (HEDIS)
- • Cost Analysis
- • RAF Optimization
- • Contract Performance
The 30,000 Lives Opportunity
This isn't a pilot — it's a microcosm of a scalable national model
Financial Impact Model
Why 30K Lives Is Significant
Statistical Validity
30k lives provides statistically stable actuarial baselines for predictive modeling and ROI demonstration
Contract Readiness
CMS and MA pilots often start with 5-10k lives — we have 3-6x that ready today
Proof Point
Enough volume to prove CHI stratification ROI in real-time with measurable outcomes
The Data Loop for Continuous Improvement
CHI predicts → Renova acts → Outcomes prove → HPA reports → Contracts expand
Transforming the Fragmented CCM Market
Current Market Reality
- Hundreds of CCM vendors doing compliance-level billing, not performance outcomes
- Each struggling to transition from fee-for-service to value-based contracts
- Lack population-level analytics and predictive intelligence
- Operating with fragmented data sources and no unified view
The VBC Accelerator Model
Phase 1
Prove with Renova
30k lives, 10-15 provider groups
Phase 2
Scale via HPA
Expand to HPA's CCM network
Phase 3
Regional Dominance
100+ provider groups, multiple payers
Acuity Provides
- ✓ Predictive CHI engine
- ✓ CDS + interoperability layer
- ✓ Digital twin engagement
- ✓ Measurable outcomes
- ✓ VBC operating system
Strategic Alliance Creates
- ✓ HPA brings network & relationships
- ✓ Renova provides care delivery
- ✓ Acuity powers intelligence
- ✓ Scalable across CCM vendors
- ✓ Unified VBC ecosystem
VBC Accelerator Implementation
Phase 1: Foundation
Months 1-2
- • Renova data integration
- • CHI baseline scoring (30k lives)
- • Provider group mapping
- • Initial dashboards deployed
- • HPA metrics integrated
Phase 2: Optimization
Months 3-4
- • Provider rollout (first 5 groups)
- • CDS workflow integration
- • Care team training
- • Performance benchmarking
- • ROI demonstration
Phase 3: Scale
Months 5-6
- • Full provider network live
- • Digital twin deployment
- • Contract negotiations
- • Expand to HPA network
- • Regional payer engagement
Projected Outcomes
The Endgame
- All 30,000+ patients risk stratified instantly
- Aggregate CHI data across the Renova network creates unified analytics
- Renova transitions from service organization to VBC-enabled network
- Every provider group becomes a new Acuity client node
- 10 provider groups today → 30 tomorrow → 100+ in 12 months
Why Acuity Is the VBC Operating System
You're End-to-End Infrastructure
- • QHIN data ingestion
- • CHI predictive analytics
- • Clinical decision support
- • Digital twin engagement
- • Payer dashboards
- • Contract alignment
Income Trajectory
- • Acuity scales exponentially with data
- • HPA scales linearly with relationships
- • Your ARR trajectory will eclipse HPA's model
- • Natural evolution to platform dominance
- • Network effects compound value
The Win-Win Framing
"HPA brings relationships and contracting experience; Acuity brings the technology and operational enablement that makes those contracts real. Renova and others plug in through Acuity to scale the model. HPA can grow its network faster because it has our data engine underneath, and we can scale faster because their introductions become plug-and-play on our platform."
In One Line
"Acuity is the VBC infrastructure layer — everyone else, including Renova and HPA, grows faster when plugged into our system."
Transform Care Delivery with Precision Intelligence
We're not just improving Renova's CCM — we're transforming their entire provider network into a VBC-ready ecosystem. Every provider using Acuity becomes part of a unified, predictive 5-tier system that turns patient data into measurable value.
The Three-Layer VBC Stack
Renova
Executes care
Acuity
Quantifies value
HPA
Monetizes outcomes
This Isn't Three Companies Doing Projects
It's a full-stack regional VBC system with data, delivery, and finance under one roof. 30,000 lives is just the starting block to anchor the next $50-100M in value-based contracts.
Next Steps: The VBC Accelerator Pilot
- Quantify the 30k lives impact model
- Map Renova's provider groups for rollout
- Define HPA's administrative structure
- Establish Phase 1 success metrics
- Create joint go-to-market materials
- Begin technical integration assessment
The Strategic Reality
With just Acuity, Renova, and HPA, we can bring true value-based care enablement to provider groups at scale — not through theoretical models, but through operationalized, data-proven care management that transforms isolated CCM operations into a unified, predictive VBC ecosystem.