QALYfAI® - Healthcare Performance Intelligence
See the whole performance picture.
Improve what happens next
Better Performance | Lower Risk | Stronger Growth
Critical decisions based on fragmented evidence cost healthcare systems billions each year.
But patients feel the consequences first.
Delays, poorer outcomes, avoidable harm and inconsistent care create a cycle of diminishing returns for patients, providers, payers and indemnifiers alike.
Connecting the evidence. Improving the decisions.
HVA QALYfAI® connects the evidence, brings performance into context and helps organisations act earlier - improving care, strengthening fairness and reducing risk for all.
Better performance
Improving care, optimising reimbursement, reducing leakage and waste, and improving the value of healthcare spend.
Lower risk
Identifying clinical, regulatory, legal and reputational exposure before scrutiny, litigation or reputational damage.
Stronger growth
Supporting stronger propositions, better contracts, increased market share and improved margins.
Click to request a confidential discussion | See how QALYfAI® works here
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The Health Value Alliance - Providing the Evidence for Better Healthcare Decisions
The Health Value Alliance brings together clinical, financial and patient-reported data to reveal where healthcare delivers value — and where it does not.
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.
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, QALYfAI®, evaluates how healthcare decisions perform in the real world — linking outcomes, experience and cost.
QALYfAI® integrates three performance lenses:
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Payer data — claims, cost and utilisation
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Provider data — pathways, operations and outcomes
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Patient-reported data — outcomes and experience
By grounding funding and delivery decisions in measurable performance, HVA aligns incentives across payers and providers and underpins our Healthcare Decision Assurance® framework.
HVA QALYfAI® - Enabling Healthcare Decision Assurance
QALYfAI®
QALYfAI® is HVA’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, QALYfAI® 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 — grounded in structured evidence rather than retrospective interpretation.
Accountability Is No Longer Optional
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 Organisations
Align delivery and funding through system-level evaluation.
Data, Analytics & Actuarial Partners
Strengthen pricing and risk forecasting beyond claims data.
