Climb Higher, Faster.

Apex Health delivers technology-enabled management services
to advance value-based care.

Meet the Opportunities & Challenges of Value-Based Care

The continued healthcare industry transition to value-based care creates unprecedented opportunities for health systems, payers, and provider groups to succeed and grow. Now, more than ever, healthcare organizations must embrace new ways of measuring, delivering, and managing care to diversify revenue and improve clinical outcomes.

Apex offers population-agnostic technology-enabled solutions that measure and improve the vital signs of value-based care: disease burden capture, quality improvement, medical cost management, provider alignment, and patient experience. Our comprehensive solutions – comprised of people, process, and technology – drive the transformation required to pursue value-based care.

  • Partner since 2018

  • Partner since 2021

  • Partner since 2022

  • Partner since 2023

A Trusted Operating Partner in your Value-Based Care Journey.

Apex understands that creating outcomes needed to sustain value-based care requires organizational transformation.

We specialize in end-to-end support from initial strategy development to ongoing operations.

Value-Based Care Operators

The Apex Difference: Our operating experience from hundreds of combined years managing risk and operations across care delivery, payer, and provider organizations. This heritage yields innovative solutions that drive measurable returns for our clients.

People, Process, Technology

As an operating partner to some of the largest health systems and payers in the country, we understand these organizations need comprehensive, technology-enabled solutions to address the complexity of healthcare transformation.

ApexAscent™

Few healthcare organizations start from scratch. The ApexAscent platform is built on principles of interoperability and modularity to help drive performance while maximizing your existing technology investments.

Apex Solutions

Apex solutions are comprised of people, process, and technology across both value-based care capabilities and the administrative functions required to manage financial risk.

Value-Based Solutions: The pillars required to drive the clinical, cost, and quality outcomes of patient populations

  • Tech-enabled capabilities and coding services to accurately identify and capture population disease burden, both retrospectively and concurrently, along with direct physician education and support.

  • Comprehensive Star Ratings and HEDIS support, from measure-level roadmap development to accurately forecasting and managing performance alongside your physician partners.

  • Population health analytics to identify drivers of medical cost paired with the capabilities to impact trend through physician scorecarding, network integrity management, and more.

  • Creating high-performing, value-based physician networks through aligned compensation models, technology enablement, clinical resourcing, and educational support.

  • Driving sustainable and repeatable growth through the creation of compelling service offerings and insurance products + developing a differentiated patient / member experience to retain populations.

Payer Solutions: Core capabilities needed to manage financial risk while delivering the ideal patient and provider experience

  • Targeted market assessment, consumer analytics, and competitive analyses to develop competitive offerings + Medicare Advantage bid support.

  • Technology integration and management of enrollment and claims processing systems to seamlessly enroll and onboard new members.

  • Scalable technology and expertise for rapid and accurate processing with high auto-adjudication rates.

  • Proven workflow and dedicated service professionals to engage and support members and providers.

  • Compliant, accurate, timely distribution of required documents and materials.

  • Proven ability to engage, educate, and enable providers to achieve high clinical and financial performance in value-based and traditional contracts.

Opportunities in Value-Based Care. Learn how current healthcare trends and market forces are creating VBC opportunities for health systems.

Read our analysis .

Executive Leadership

Meet our Senior Leaders

Accelerate your value-based care journey with Apex.

Reach out today to learn more.

Careers

Ready to Transform Healthcare?

If you’re a value-based care believer, we’d like to meet you. Our breadth of solutions and clients means we’re looking for professionals across all segments of healthcare – health system and payer operations, clinical services, practice operations, client services, and healthcare analytics are all areas in which we’re actively recruiting. Explore our openings today to learn more.