Waymark

“I would not recommend moving toward risk simply for some kind of valuation arbitrage. I think you do it because It's needed to prove a new model of care or it's needed to cover something that that's just simply not paid for under existing CPT codes.”

“You kind of have to bring in a lot of the expertise and process that you might see in a larger later company earlier, if you're going to move down this path, because the stakes are so much higher.”

“There's a balance between needing to be enough scale so that, you know, operationally from a unit economics perspective, You can make it work. And then from an actuarial perspective, you have enough credibility, but not being at so much scale or being so expos…”

“You don't do this because you think you're going to have an outcome that you can point to in 12 or 18... Over a many year period, potentially a decade or more, that you're going to make a real impact on care delivery. And you kind of, you have to have that pat…”

“Reducing overall acute care in the intervene cohort by 23%, reducing what are called ambulatory care sensitive hospitalizations by 48%.”

“The challenge is nobody had ever built the product to reliably implement those proven interventions at scale, and nobody had ever created the funding mechanism to make those sustainable.”

“Community based care is not reimbursed in a fee for service system, and so we are doing risk based contracting to make it work”

“I think the biggest difference is that if this were a drug, it'd be medical malpractice not to give it.”

“In addition to reducing emergency room visits by about a quarter versus that control group, we achieved a lot of improvement in access and quality outcomes. So nationally, they're measured by this Health Effectiveness Data Info System, or HEDIS, which a lot of…”

“Our algorithm is, is trained not on cost or prior utilization, but on condition and social risk factors, and the various other data feeds that tell us about behavior, the kind of admission discharge transfer feeds, we can see whether they're picking up their m…”

“If you didn't have signal, you'd have about 30% accuracy in identifying Future acute care use. I mean, seven out of the 10 patients that you reach out to, you're not going to actually benefit in a way that changes the outcome. With Signal, you have 90% accurac…”