About
Payers may value better outcomes, but adoption depends on whether those outcomes create a credible financial return for the right line of business. Founders need to know what the plan is buying and which economic problem their solution can solve. This workshop examines ROI through a payer and CFO lens. Using actuarial decision frameworks and practical examples, participants will learn how population focus, buyer selection, pricing, budget impact, and financial logic work together to strengthen payer-market fit. You’ll learn how to: 🎯 Identify what a health plan is actually purchasing 🏦 Connect clinical impact to payer budgets and financial priorities 🧮 Quantify outcomes that can create a defensible return 🩺 Evaluate how line-of-business economics change the ROI story 💲 Build pricing logic around the buyer’s expected value 📣 Translate evidence into a CFO-ready business case --------------------------------------------------------- Clem Foltz, FSA Clem is the founder of Momentum Actuary and a healthcare actuary who translates clinical impact into payer-aligned financial outcomes. He helps healthcare organizations quantify value, navigate risk arrangements, and frame solutions within the budget constraints facing health plans and risk-bearing providers. Demi Radeva, MSc Demi is the founder of Akros Advisory and a former UnitedHealthcare and Optum leader across Medicaid, Medicare, and Commercial health plans. She has supported 50+ HealthTech startups with payer strategy, market access, funding, and payer contracts. --------------------------------------------------------- Best for: HealthTech founders, payer sales teams, finance leaders, actuaries, and companies refining pricing, ROI, or payer-market fit