Zoadigm is the operating system for value resolution in specialty medicine. We translate clinical pathways into accountable payment, prompt settlement, and clinically grounded risk boundaries that oncologists and payers can trust — so practices are measured on what they can control, not on volatility they cannot.
Value-based care doesn't work because the contract is misaligned with the clinical pathway. Population-level budgets are imposed on the pathway-level work practices actually do. Providers are accountable for costs they don't control. Coordination labor goes underpriced. True-ups arrive too late to matter.
Add Part B drug-pricing reform on top of a misaligned contract, and community oncology is in an existential crisis. Nearly 1,750 practices closed, acquired, merged, or in financial distress in a generation. The survivors treat active oncology patients on contracts where the math was broken before the first claim ever settled.
Fixing community oncology means fixing the contract — starting with the unit of value.
MASON — Making Accountable Sustainable Oncology Networks — rebuilds value-based oncology on the right clinical and economic model. Clinical pathways define value. Payment follows the pathway, not a population average. Coordination labor is compensated. Risk is bifurcated so practices are held accountable only for what they control.
Designed by Dr. Barbara L. McAneny and reviewed by PTAC, MASON is the payment model. Zoadigm is the technology that operationalizes it.
Risk-adjusted episode budgets derived from the specific clinical pathway — not population averages.
Payments for triage, new patient management, and data stewardship — coordination work finally compensated.
Medical volatility is separated from operational performance. Volatility is insured. Performance is rewarded.
Continuous tracking against Oncology Patient Category (OPC) budgets — live visibility replacing the 6+ month true-up delay.
Below: how the Zoadigm Open Value Health Network makes this executable.
Healthcare IT has matured four foundational layers. The fifth — Value Resolution — is what specialty medicine has been waiting for. Zoadigm builds it on its Open Value Health Network (OVHN) operating system.
Healthcare's first dedicated settlement layer for specialty medicine.
FHIR-native event stream and durable workflow engine. Every coordination task completes — triage, referral follow-through, authorization. No dropped handoffs.
AI agents work for clinicians using a semantic model of each episode. Digital twins project cost and outcome. The network learns — but never determines settlement.
Episodes settle deterministically against a Computable Contract Addendum — measured against an Oncology Payment Category target, from an event log both payer and provider independently reproduce.
MASON places accountability at the pathway level — dozens of decision nodes per patient, continuously, across hundreds of active episodes. That's the scale agents work at. Clinicians determine the path. Agents help execute it. Settlement follows deterministically.
Every episode executed on the Zoadigm OVHN improves the next one. Pathways, cost models, and workflows compound into shared intelligence that every new practice and payer inherits.
MASON 3.0 on the Zoadigm OVHN creates aligned incentives where every stakeholder wins.
Itemized, cost-based payment for the coordination work they already do. Autonomy preserved. Patients first. Agents take the administrative friction.
Settle against the clinical pathway — where clinical performance separates from medical volatility with increasing precision. Reproducible settlement. No more retrospective true-ups.
A cleanly segregated risk asset — medical volatility — priced from an immutable event log. Parametric contracts that were previously impossible to underwrite.
Safer, more coordinated care. Proactive triage within one hour. Financial transparency from day one. A care team always watching — augmented by agents that don't sleep.
The three capabilities that turn a value-based contract from a spreadsheet argument into an executable financial instrument.
A legally incorporated, machine-executable specification of your value-based contract — versioned, hashed, and reproducible.
Both parties recompute settlement from the same claims data. Interpretation disputes and six-to-twelve-month true-ups become obsolete.
Advisory AI and determinative settlement are architecturally separate. Agents draft and surface variance. Humans decide.
Attribution, episode windows, corridors, and quality gates execute deterministically from the versioned CCA. Same data, same rules, same number.
Specialty episodes nest inside existing Total Cost of Care (TCOC) arrangements — with each party accountable for risk they can actually manage. Specialists bear the pathway. The payer bears population-level spend.
Specialists don't absorb volatility they can't control. Payers don't guess at pathway economics they can't see. The decades-long specialist/payer mismatch problem, solved at the contract seam.
Most healthcare-IT projects skip or approximate the data-and-workflow foundation. Ours is in production and validated against millions of records — and the deployment path that turns it into MASON-on-Zoadigm is queued behind it.
Distributed workflow orchestration with clinical and claims data normalized to validated FHIR and standard terminologies. The layer most healthcare-IT projects skip or approximate.
Reviewed & endorsed by the Physician-Focused Payment Model Technical Advisory Committee — the federal panel that vets new payment models for CMMI consideration.
The MASON model originated here under Dr. McAneny. ELT and pathway-analysis tooling already validated against active oncology operations; the pilot will work the kinks out of MASON-on-Zoadigm in production.
One of the largest independent community-oncology alliance in the U.S., committed to MASON-on-Zoadigm rollout. Once the pilot is hardened, the network is the deployment surface.
The distributed workflow and FHIR data-infrastructure foundation above is the layer most healthcare-IT projects skip or approximate. It is built, running, and customer-validated. The MASON agents and settlement layer in active development are a focused build on top of it.
The data foundation is built. The launch pilot is committed. We're recruiting design partners across commercial payers and reinsurance to shape the settlement and risk layers against real contracts. If our thesis fits your strategy, we should talk.