Our vision for transformation
At VITAL, we’re driven to identify and bring the best health innovations to our customers and ensure we are a next-generation leader in transforming care.
The VITAL test-and-learn engine
Solving Unmet Needs
Improve Go-to Market speed by leveraging claims-level and clinical outcomes in an accelerated real-world test environment, producing evidence for commercial products.
VITAL studies generate evidence that can lead to reduced medical spend, improved quality outcomes, and enhanced patient access to new technologies.
By connecting technology leaders to an integrated clinician network and target populations, VITAL’s unique position offers access to claims data, clinical outcomes, and cost analytics participating members in the largest commercial health plan in Pennsylvania.
VITAL is an innovation platform that identifies best-in-class solutions, connects health care innovators to facilitate product testing, by generating evidence, and influencing market adoption.
VITAL matches you with the right collaborators who can get you evidence faster.
Good solutions often get delayed because they lack the evidence to back them up. VITAL creates a path forward by guiding medical solutions through necessary steps towards gaining widespread market adoption.
Fragmented paths to market
Getting new ideas in front of doctors and health insurers is still overly complex.
We match technology leaders and top clinicians who have influence over health care and coverage. Once you make contact with us and your project gets approved, we can arrange a real-world test of a product or idea. This typically happens within three months.
Gathering all of the data and evidence necessary to support innovation is inconsistent and lacks coordination.
We are uniquely suited to bring together:
- Research institute
- Carefully targeted patient populations
- Advanced claim information, clinical data, and cost analytics from eligible members that participate in the program from the largest commercial health plan in Pennsylvania.
Lack of information
Solution adoption decisions lack experience data — from both patients and clinicians.
Data that makes a difference
We identify projects that are predicted to meet or exceed industry standards. And we help gather real-world care quality, cost, and experience data to support them.
Why was the VITAL program created?
In an effort to promote innovation in a highly competitive Western Pennsylvania market, Highmark Health designed the VITAL program to support clinician efforts to creatively solve for care delivery challenges.
Since its launch in 2015 the VITAL program has become a central mechanism for fostering collaboration — and driving value — across Highmark Health: Providers are rewarded for innovative thinking and funding to propose and champion solutions to key issues; eligible members of a Pennsylvania health plan gain earlier access to promising new treatment options with proven outcomes; and the Pennsylvania health plan derives medical policy efficiencies and cost savings as clinically- and cost-effective solutions are adopted.
What is the duration of VITAL tests?
Typical end-to-end evaluation processes span 6 – 18 months, depending on the quality of evidence available for review prior to test launch. The VITAL team evaluates new solutions and conducts tests in parallel as capacity allows.
What types of solutions are tested?
The VITAL team evaluates health care technologies, labs, and/or processes that are commercially available and have received FDA approval — or other certification equivalents (e.g., CLIA certification for labs) — but have not yet received coverage under most health plan medical policies. Furthermore, candidates are prioritized based on alignment between a solution’s evidence deficits and Highmark Health/VITAL capabilities. Pharmaceutical therapies are not being tested at this time, though the program may expand to evaluate pharmacological products in the future.
What is the size of the member population available for VITAL studies?
VITAL tests currently draw on data from more than 5 million health plan members.