Health Plans

Momentum Actuarial Scales Rigorous Clinical Vendor Diligence 100x without Compromising Analytical Depth

Company

Momentum Actuarial

Time to Value

30 days

Scale

100x

Overview

As health plans sign more performance-based contracts with clinical vendors, the stakes for vendor diligence have never been higher. Actuarial-grade evaluation has historically been difficult to deliver economically at scale. Plans either paid significantly more for rigorous analysis or settled for shallower assessments that left material risks unresolved.

Momentum Actuarial was co-founded by actuary Clem Foltz to close that gap. The firm brings standardized actuarial rigor to clinical vendor evaluation, where inconsistent methodology and incomplete analysis have long created blind spots for health plan decision-makers. Their proprietary framework covers clinical evidence quality, financial projection integrity, attribution risk, operational dependencies, and failure modes that generic evaluations miss.

The Challenge

Before actAVA, Momentum Actuarial ran its evaluation process through standard AI chat tools. Results were inconsistent, hard to reproduce, and too fragile for client delivery. Long research tasks exceeded context limits, required steps were missed, and fixing one problem often created another.

For a firm delivering the final report as the product, not a draft for internal revision, that was not a workable foundation. Momentum Actuarial needed a workflow where every required step was completed, deep research was handled reliably, and conclusions were traceable without significant manual review on every run.

The Solution

Momentum Actuarial worked with actAVA to translate their proprietary vendor evaluation framework into a structured AI workflow. Specialized agents handle vendor research, market analysis, clinical evidence review, risk assessment, and PDF report generation. Each agent was evaluated against work produced manually by experienced actuaries before moving to production.

Each stage runs in its own context and passes structured output to the next, preserving an auditable trail and preventing context loss. Completion gates ensure required steps are never skipped. Visibility into tool use, token consumption, and context compression gives Momentum Actuarial a practical way to monitor and refine the workflow over time.

I’m a user of AI, not a builder of AI. actAVA demystifies the complexity so I can focus on driving better results and work within the right set of tools. Having their experts guide implementation, review what I built, help me improve it, and validate it before production made a huge difference.
Clem Foltz, FSA

Clem Foltz, FSA

CEO, Momentum Actuarial

The Result

With actAVA, Momentum Actuarial reduced evaluation time from weeks to days while maintaining human review checkpoints throughout. In an early pilot, a health plan compared Momentum Actuarial’s AI-assisted report against its own six-month evaluation of the same clinical vendor. The report captured the substance of that work in a single decision-ready document.

Rigorous vendor analysis is now economical across a broader set of evaluations. Health plans can commission multi-domain diligence covering independent literature review, attribution risk modeling, breakpoint analysis, and failure mode mapping at full scope, for any vendor evaluation they need. Each report gives plans a defensible evidence base for vendor selection, rejection, and performance-based contracting.

I think there are many people that are not dreaming big enough about what you can do with AI, and actAVA’s platform feels set up in a way that gives you all the right things to start thinking about so you can really start pushing the limit.
Clem Foltz, FSA

Clem Foltz, FSA

CEO, Momentum Actuarial

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