We are excited to share that we have entered a new chapter as a profitable business. This important milestone highlights our sustainable approach to value-based care (VBC) and proves that high-performing systems of care, led by primary care physicians (PCPs), can dramatically drive down unnecessary medical costs while also improving patient outcomes. This new chapter couldn’t come at a more exciting time, as we continue to roll out additional multi-pronged initiatives that address physician practices’ major pain points.
Today, Vytalize supports a curated and rapidly expanding network of 1,000 physician practices, 3,000 primary care providers, and 7,000 specialists. We provide end-to-end support in VBC through an AI-enabled clinical decision support platform, data analytics, financial incentives, practice transformation support, along with direct clinical support to help the nation’s leading practices perform even better in VBC.
We’re excited to share that the data shows conclusively that our approach is working. Vytalize’s practices consistently improve over time. Mature Vytalize cohorts generate over 8% savings—approximately $1,400 per patient annually by their 3rd year. Importantly, these savings reflect actual reductions in healthcare utilization, and are independently verified and isolated from risk adjustment and other revenue-optimization factors. This validation comes from seven years of data encompassing 600,000 patient-years and rigorous third-party actuarial analyses, confirming true healthcare cost reductions beyond improvements in clinical documentation alone.
Using proprietary clinical decision support tools such as Vytal Insights™ and peer-to-peer guidance tied to financial incentives through our Vytal Signs™ program, Vytalize provides partnered practices with advanced enterprise-level tools to succeed and generate shared savings. Going beyond primary care, our Vytal Network encompasses a curated network of specialists, post-acute providers, and hospitals that collaborate with PCPs and each other to deliver superior and affordable care.
Vytalize has also implemented affordability programs like Vytal Care, its chronic disease management program through its clinical arm, which helps primary care practices proactively manage high-risk populations. Targeted actions such as improving transitions of care and addressing chronic diseases, these programs have accelerated practice improvement and driven impactful cost reductions.
The impact of Vytalize’s approach is further illustrated by an independent study that reviewed our medical expenditures compared to regional averages. Notably, the study found improvements over time including:
Inpatient costs remained significantly lower, from $3,271 at Year 0 to $3,764 by Year 4+, versus regional averages rising from $3,403 to $4,213.
Skilled Nursing Facility (SNF) costs decreased notably, reaching $1,374 by Year 4+, well below the regional average of $1,663.
Outpatient services costs consistently stayed below regional benchmarks, starting at $2,605 and reaching $2,814 at Year 4+, compared to $3,547 regionally.
Home Health and Hospice services demonstrated substantial improvement, declining from $901 initially to $734, significantly outperforming the regional benchmark of $946.
Here’s a chart showing Vytalize bending the cost of medical expenditures per beneficiary per year (PBPY) compared to its region:
Our consistent cost efficiency across major healthcare services underscores Vytalize’s unique capability to deliver value-based care at scale but, most importantly, these improvements mean thousands of Medicare patients are spending more days at home, surrounded by loved ones and living their best lives. Our preventive care and effective care management give patients back precious days to enjoy life fully.
Looking ahead, Vytalize Health is accelerating its strategy through continued expansion of its curated physician network and patient populations, targeted acquisitions, and ongoing investments in cutting-edge technology and clinical innovation. Our commitment to good medicine and to doing whatever it takes for our patients continues to drive new innovations that help reshape the way we do primary care, and we are all the better for it.
