Drive Better Outcomes and Stronger Margins in Value-Based Care

Actuarial intelligence that powers smarter clinical and financial strategies. Design optimal contracts, build  high-performing networks, improve quality outcomes, and maximize profitability - all backed by  Medicare, Medicaid, and Commercial benchmarks.

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Design and Execute Profitable VBC Contracts
Model contract scenarios before you commit, track performance in real-time, and reconcile settlements with precision
Build Network That Lower Costs and Improve Quality
Benchmark providers at the NPI level to identify top performers, eliminate cost outliers, and optimize network composition
Power Decisions With Expert Actuarial Intelligence
Access on-demand actuarial experts for risk modeling, utilization forecasting, and strategic guidance
$10M+
of financial reconciliations recaptured by partners
300+
Pre-built analytical assets across quality, cost and utilization
3.2 months
Earlier identification of high-risk patients

Complete VBC Intelligence -  
From Design to Settlement

Benchmark and Model Before You Sign
Compare provider performance at the NPI level and model PMPM costs across contract scenarios using comprehensive Medicare, Medicaid, and Commercial data.
Optimize Network Composition and Performance
Identify high-performing providers and eliminate cost outliers using quality, cost, and risk scorecards with episode-level performance analysis.
Monitor Performance and Validate Settlement in Real-Time
Track PMPM costs and loss ratios continuously, then run independent settlement calculations to validate payer payments and catch discrepancies.
Get Expert Actuarial Guidance
When You Need It
Get on-demand support from experienced actuaries for contract negotiations, risk adjustment strategy, and utilization forecasting.
See how Humbi helps provider organizations design smarter contracts, optimize network performance, and
maximize shared savings.
See how Humbi helps provider organizations design smarter contracts, optimize network performance, and maximize shared savings.
Request a demo
Request a demo
See how Humbi helps provider organizations design smarter contracts, optimize network performance, and maximize shared savings.
Request a demo
Request a demo

Frequently Asked Questions

What makes Humbi unique?

Humbi AI stands out by combining unique access to national Medicare and Medicaid datasets with cost-effective actuarial services. Unlike competitors who offer either standalone HEOR dashboards or pure actuarial services, we provide an integrated solution that's substantially more cost-effective than traditional firms like Milliman and Wakely.

What data sources does Humbi have access to?

We have comprehensive access to Medicare data (Parts A, B, C, and D) from 2011-2024, T-MSIS Medicaid data for all 50 states, commercial claims data (2015-2024), and a detailed provider database. This data is available at the claim line and beneficiary level, covering over 60 million lives

What types of financial modeling services do you offer?

Our actuarial experts build sophisticated financial models for projecting performance, profitability, and risk in value-based care arrangements. This includes MLR projections, premium revenue forecasting, utilization trends, and custom analytics tailored to your specific needs.

Who are your typical customers?

We serve three core markets: providers managing value-based care programs (like Rise Health's ACO REACH program), regional health plans (such as CareFirst BCBS), and life sciences companies requiring specialized analytics and HEOR studies.

What specialized analytics do you provide?

We offer episode-based cost and utilization benchmarks, provider performance management analytics, patient acuity models, and custom analytics tailored to specific business challenges such as risk stratification and pharmacy trend analysis.

How do you support regulatory compliance?

Our actuarial experts have deep knowledge of healthcare regulations, quality metrics, and reporting requirements, including HEDIS and CMS Star Ratings. We ensure all analytics, models, and strategies comply with industry standards and requirements.

What consulting services do you provide?

Beyond analytics, our actuarial team provides strategic consulting and decision support for network design, value-based contracts, and benefit plan changes. We help interpret insights and guide data-driven decision-making.