Arbital Health

Arbital Health

Arbital Health is a value-based care platform that measures, adjudicates, and settles risk-based contracts between payers, providers, and digital health companies. Arbital Health acts as a neutral umpire: it centralizes contract terms, computes performance against quality and cost benchmarks, and produces auditable settlements both sides can trust. Founded in 2023 by the team behind Datavant and LiveRamp, Arbital Health targets the operational mess of outcome-based deals, where disputes over measurement stall payments. Its 2025 launch, Merlin AI, is an embedded actuarial assistant that forecasts financial impact and explains contract performance. For organizations scaling risk contracts, Arbital Health offers infrastructure that sits between the contracting parties.

Production credibility: Founded in November 2023 by Travis May (co-founder and former CEO of LiveRamp; co-founder and former CEO/CTO of Datavant) and Brian Overstreet. Arbital Health has raised approximately $46M total, including a $31M Series B announced in August 2025 led by Valtruis, with participation from Transformation Capital, Shaper Capital, and Healthy Ventures. The company reports working with 40+ payers, providers, value-based-care enablers, ACOs, and digital point solutions to centralize and adjudicate risk contracts. In October 2025 it launched Merlin AI, an embedded actuarial assistant that continuously measures contract performance, forecasts financial impact, and surfaces actionable insights. HQ: San Francisco Bay Area.

Key Features

• Centralized repository for value-based and outcome-based contract terms and logic
• Independent measurement of performance against quality, cost, and utilization benchmarks
• Adjudication and settlement workflows designed as a neutral third party between payer and provider
• Merlin AI: an embedded actuarial assistant that forecasts financial impact and explains results
• Auditable, transparent calculations both contracting parties can verify
• Data consolidation across claims, clinical, and contract sources for a single source of truth
• Actuarial modeling to test contract structures before signing
• Dispute reduction through standardized, reproducible measurement methodology

Ideal Use Case

A payer and a provider group with a shared-savings contract use Arbital Health as the neutral scorekeeper, so both sides agree on how performance is measured and settlements are calculated instead of arguing over spreadsheets.

How Arbital Health differentiates

Arbital Health is narrower and more neutral than broad value-based-care enablement platforms like Innovaccer or care-management suites; rather than running population health or care delivery, it specializes in the measurement and adjudication layer of risk contracts. Its pitch is independence: as a third party computing settlements, it aims to remove the conflict of interest when one contracting side owns the math. Merlin adds actuarial forecasting that general analytics tools lack. The trade-off is scope: Arbital Health does not replace an enabler's care operations or a payer's core claims system, and it is early-stage, so its value grows as more counterparties standardize on its measurement.

FAQ

Q: What does Arbital Health do? A: Arbital Health measures, adjudicates, and settles value-based care contracts as a neutral third party, centralizing contract terms and computing performance against benchmarks so payers and providers can trust the numbers.

Q: Who founded Arbital Health and when? A: Arbital Health was founded in November 2023 by Travis May—co-founder and former CEO of LiveRamp and Datavant—and Brian Overstreet.

Q: How much funding has Arbital Health raised? A: Arbital Health has raised approximately $46M total, including a $31M Series B in August 2025 led by Valtruis, with Transformation Capital, Shaper Capital, and Healthy Ventures participating.

Q: What is Merlin AI? A: Merlin AI, launched in 2025, is Arbital Health's embedded actuarial assistant. It continuously measures contract performance, forecasts financial impact, and explains results in an interactive, transparent way.

Q: Arbital Health vs Innovaccer: how do they differ? A: Innovaccer offers broad data and population-health enablement, while Arbital Health specializes in the neutral measurement, adjudication, and settlement of risk contracts—the scorekeeping layer—rather than running care operations.

tl;dr

Arbital Health is a value-based care platform that acts as a neutral umpire for risk contracts, measuring and settling them so payers and providers agree on the math. Founded in 2023 by the Datavant/LiveRamp team and backed by ~$46M, it added the Merlin AI actuarial assistant in 2025.

Related

Looking for more options? Browse the Healthcare directory or read our best AI healthcare tools listicle. Arbital Health is also tracked on Crunchbase.