The operating system for health plans' alternative payment programs

Radiance gives health plans the infrastructure to manage attribution, measure performance, and evolve their value-based programs in real time.

Plans manage value-based contracts with teams of experts doing manual work that should be automated.

Plans do VBC by hand: entire teams parsing data, QA-ing files, and reconciling payments every month. That's your best people spending their days on rote work instead of on the questions only they can answer.

of value-based contract payments estimated to be duplicative across overlapping programs and vendors.

5–10%

to stand up a new program, because eligibility, attribution, and payment logic are rebuilt from scratch every time.

Months, even years

into cross-program performance, vendor ROI, or whether members are in the arrangement that would actually improve their outcomes.

No visibility
Easily 10% of my VBC payments are duplicative in some way, and the problem is only getting worse as we add more programs.
Head of VBC, National Payor

Manage attribution. Measure performance. Reconcile payments.

Attribution management interface — member rows resolving to validated assignments

What Radiance Does

Attribution Management in the Radiance platform — product interface preview

Continuously assign every member to the right provider and risk arrangement, with the logic, conflicts, and changes tracked in one auditable system.

Attribution Management

Provider Performance in the Radiance platform — product interface preview

Compare cost and quality across every vendor and program on a single view, so you can scale what's working and rationalize what isn't.

Provider Performance

Payment Reconciliation in the Radiance platform — product interface preview

Produce clean, validated member-month and attribution data — free of duplicates and overlaps — so every payment is accurate and defensible.

Payment Reconciliation

UnitedHealthcare
Aetna
Molina
Kaiser Permanente
CMS
Emblem Health
Juxtapose
Deerfield
Aledade
With Wisdom
Herself Health
Constella Care
Galileo
UnitedHealthcare
Aetna
Molina
Kaiser Permanente
CMS
Emblem Health
Juxtapose
Deerfield
Aledade
With Wisdom
Herself Health
Constella Care
Galileo
Watch it come together

The monthly pile of crumpled, overlapping claims, straightened automatically, so your team doesn't have to.

Every health plan will face this problem of overlapping attribution in the next 3–5 years. Radiance is a foundation that has to exist if you want value-based care to work.
Head of Value-Based Care, Blue Cross Regional