AI-powered Intelligence for Healthcare Funding and Delivery
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> Informed decisions
> Measurable value
> Lower risk
The Inherent Assumption of Healthcare Oversight
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Patients assume care is safe.
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Payers assume providers deliver appropriate care.
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Providers assume care will be funded.
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Regulators assume payers purchase the best care.
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In reality, no system verifies these assumptions simultaneously across safety, outcomes and value.Ā
Without a defensible performance framework behind healthcare funding and delivery decisions, systems are exposed to:
Financial volatility
Unpredictable cost and funding pressure
Regulatory scrutiny
Growing oversight of funding and care decisions
Litigation risk
Exposure where decisions cannot be evidenced
The Issue
Healthcare funding and care decisions are made without verifiable performance evidence.
The Cause
Health systems lack a framework that links outcomes, cost and risk to provider performance.
The Result
Healthcare systems purchase activity rather than proven value.
Waste increases. Outcomes vary. Risk rises.
The Health Value Alliance -Ā Providing the Evidence for Better Healthcare Decisions
The Health Value AllianceĀ brings togetherĀ clinical, financial and patient-reported data to reveal where healthcare delivers value ā€” and where it does not.Ā
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By evaluating real-world performance across outcomes, cost and experience, the platform enables payers and providers to make defensible decisions about care delivery and funding.
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This improves outcomes, reduces waste and strengthens risk management across the system.
How it works
Built on a proprietary value model, our AI-driven engine, QALYfAIĀ®, evaluates how healthcare decisions perform in the real world ā€” linking outcomes, experience and cost.
QALYfAIĀ®Ā integrates three performance lenses:
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Payer data ā€” claims, cost and utilisation
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Provider data ā€” pathways, operations and outcomes
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Patient-reported data ā€” outcomes and experience
By grounding funding and delivery decisions in measurable performance, HVA aligns incentives across payers and providers and underpins our Healthcare Decision AssuranceĀ® framework.
HVA QALYfAIĀ® - Enabling Healthcare Decision Assurance
QALYfAIĀ®
QALYfAIĀ® is HVAā€™s AI-enabled performance assessment platform.
It transforms fragmented clinical, operational, patient-reported and financial data into structured, decision-grade performance profiles.
By linking outcomes, experience and cost, QALYfAIĀ® converts system complexity into defensible evidence for healthcare decision-making.
This enables organisations to:
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Evidence responsible care delivery
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Justify funding and network decisions
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Demonstrate real-world impact
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Strengthen governance and oversight
The result is clearer, defensible decision-making ā€” grounded in structured evidence rather than retrospective interpretation.
Accountability Is No Longer Optional
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Regulators and funding bodies increasingly expect organisations to justify how and why healthcare decisions were made. Without structured evidence, financial, regulatory and reputational risk increases.
Traditional analytics report performance.
HVA enables defensible healthcare decisions.
Established at the request of leading international insurers, providers and industry bodies, the Health Value Alliance was created to close the gap between healthcare spending and measurable value.
Who We Support
Payers
Commission sustainable, high-performing care.
Providers
Demonstrate responsible delivery and measurable value.
Innovators
Evidence real-world value in payer-relevant terms.
Regulators & Oversight Bodies
Strengthen governance through integrated performance insight.
Accountable & Value-Based OrganisationsĀ
Align delivery and funding through system-level evaluation.
Data, Analytics & Actuarial Partners
Strengthen pricing and risk forecasting beyond claims data.
