Humbi AI’s Actuarial and Data Science Expertise Delivers Measurable Advantages for Ventricle Health
The Challenge: Providing Accessible Cardiac Care to Patients
One of the greatest challenges facing the U.S. healthcare system today is the limited access to specialized care for chronic conditions like cardiovascular disease. Roughly 50% of Americans with cardiovascular disease do not have ready access to a cardiologist. This gap in care is especially critical for patients with heart failure, a condition that requires regular monitoring and specialized treatment to prevent severe complications or hospitalization.
In response to this challenge, Ventricle Health, a startup focused on heart failure solutions, is pioneering a value-based homecare model that allows patients to receive high-quality cardiac care from the comfort of their homes. Ventricle Health has built a physician-led network consisting of cardiologists, nurses, health coaches, and pharmacists who work together with the singular mission of optimizing heart health. Through this network, they empower patients with seamless access to virtual, evidence-based therapy, remote patient monitoring, and patient education and advocacy, enabling patients to live healthier, longer lives.
As a startup in the specialty disease space, Ventricle Health had a vision — and a strong team of healthcare professionals. However, they faced a major hurdle: they lacked the internal resources necessary to build out the sophisticated actuarial and data science capabilities required to support their mission. They needed a partner that could offer advanced data analysis for healthcare management and actuarial consulting services at a reasonable cost. After exploring multiple options, they chose to partner with Humbi AI, a company known for actuarial intelligence and cutting-edge healthcare data solutions.
Why Ventricle Health chose Humbi AI
For a company like Ventricle Health, succeeding in the complex healthcare market means having access to the right data, advanced analytics, and actuarial expertise to make informed decisions. As Jason Kemmer, Head of Commercial Initiatives at Ventricle Health, explains:
“We’re a startup, and while we would love to have built a full-stack solution with in-house data scientists and actuaries, we knew that would have been cost prohibitive. After interviewing several potential partners, we chose Humbi AI.”
Ventricle Health needed more than just data; they needed actuarial intelligence to help them navigate the specialty disease space. With their patient population comprised of individuals with heart failure, much of their data is tied to Medicare. This meant Ventricle required a partner with deep expertise in Medicare datasets and the ability to help them make sense of vast amounts of patient data.
“Humbi AI’s Andy Large and Puneet Budhiraja provide us with decades of high-level experience,” Kemmer said. “They lead a team of actuaries and data scientists that we have complete confidence in.”
Humbi’s Unique Value Proposition: Actuarial Expertise and Data Science
Humbi AI brings a unique combination of actuarial intelligence and advanced data science expertise to their clients, which proved invaluable to Ventricle Health. As a healthcare actuarial consulting firm, Humbi understands the nuances of specialty disease management and value-based care models.
Their actuarial team is not just experienced in pricing, forecasting, and financial modeling. They also have specialized knowledge of Medicare Advantage, ACA, and other value-based initiatives that are crucial for companies like Ventricle Health. By utilizing advanced healthcare analytics, Humbi helps clients analyze patient outcomes, optimize care delivery, and manage risk effectively.
Humbi also excels in data management and visualization, giving Ventricle access to actionable insights that allow them to fine-tune their business strategy and drive growth. Humbi’s ability to work with large datasets, including MSSP data (Medicare Shared Savings Program) and CKCC data (Comprehensive Kidney Care Contracting), allowed Ventricle Health to analyze trends and outcomes within their patient populations, empowering them to make data-driven decisions.
Data-Driven Solutions for Specialty Care
Ventricle Health operates in the specialty disease area of heart failure, a niche where understanding complex patient data is crucial. Thanks to Humbi AI’s deep data capabilities, Ventricle can now manage and monitor their patient population more effectively. Humbi’s comprehensive actuarial models have helped Ventricle build a personalized experience for cardiac patients, ensuring that care is tailored to each individual’s needs.
“We were looking for large, national Medicare datasets, and Humbi was able to bring all of that together as a solution,” says Kemmer. “Now we can tap into three different datasets within the Medicare space: ACL Research Data, MSSP data, and CKCC data. This data is very important for a value-based care company like ours seeking heart failure solutions within Medicare.”
These datasets allow Ventricle to track patient outcomes, analyze cost-effectiveness, and make critical adjustments to their care delivery model. They also help the company forecast future outcomes, such as how patients are likely to progress and how these trends will impact the overall cost of care.
For Ventricle Health, access to this type of data, combined with Humbi’s ability to analyze it, has been instrumental in designing effective treatment plans that reduce hospital readmissions and improve overall patient outcomes.
A True Partnership: Humbi’s Commitment to Client Success
Beyond data and analytics, what truly sets Humbi AI apart is their commitment to forming lasting partnerships with their clients. Humbi isn’t just a vendor providing actuarial services and data; they see themselves as a partner in their clients’ success.
“When Humbi says they focus on forming partnerships with clients, it’s not hyperbole,” says Kemmer. “Their willingness to spend the time needed to become part of our team impresses us greatly, especially since we are a startup.”
Ventricle Health benefits from customized, client-focused service, which is often missing from larger actuarial firms. Whether it’s a quick email to answer a question or a more in-depth conversation about strategic direction, Humbi’s responsiveness and flexibility have made them an invaluable part of Ventricle Health’s team.
Moreover, Humbi’s willingness to innovate and adapt to the specific needs of their clients sets them apart from the competition. For a growing startup like Ventricle Health, this type of personalized service and innovation has been key to their success.
Conclusion: Humbi AI’s Expertise Supports Ventricle Health’s Mission
For Ventricle Health, success in the highly specialized and competitive field of heart failure care hinges on their ability to harness the power of data analysis for healthcare management and actuarial intelligence. By partnering with Humbi AI, Ventricle Health has been able to access advanced data analytics, Medicare datasets, and actuarial expertise that allows them to focus on what matters most: improving the health and well-being of their patients.
Humbi AI’s ability to combine actuarial experience with data science capabilities makes them a standout partner for any healthcare company operating in a complex, data-driven environment. As Ventricle Health continues to grow, they are confident that Humbi will continue to play a critical role in their success.
