Contract implementation infrastructure
Runvalue-basedhealthcarecontractswithprogrammableescrowandpayout.
For payers, providers, and digital health teams already piloting value-based contracts and needing a way to automate payouts, verification, and audit trails.
Escrow Vault
CHF 0
Status
Waiting for Digital Biomarker Verification...
Release conditions
- HbA1c reduction > 0.5%
- 90-day adherence > 80%
- Third-party verification complete
Verified by:Third-Party Lab API✓
Operational characteristics
Open contract logic
Transparent, auditable contract rules
Audit trail by design
Every action logged and verifiable
Swiss-engineered controls
Enterprise-grade security standards
API-first integration
Connect any system in minutes
EDEN-based methodology
Research-backed contract patterns
Featured in
Backed by leading Swiss innovation programs
Our Mission
“We are changing how the world funds health. Instead of waiting for people to get sick, we are building a financial engine that makes staying healthy an investable asset class.
”
Why this matters
The execution gap in value-based care
Most outcome-based models fail at the operational layer. Teams agree on clinical outcomes but lack the escrow, verification, and payout operations to run them in production.
Unpriced payer risk
Outcome-based deals often fail because payers cannot mathematically price unverified promises. Without enforceable mechanisms, every deal is a leap of faith.
SanaFin approach
Escrow-backed contracts transfer risk to verifiable code, allowing payers to price outcomes with 100% confidence.
9-month payout delays
Providers face crippling administrative delays and cash flows that rely on manual reconciliation and patient behavior outside their direct control.
SanaFin approach
Automated, rules-based payouts release funds within 2 hours of verification — reducing payment cycles by up to 95%.
Operational scale bottleneck
Technical teams can pilot one deal manually, but they lack the infrastructure to scale risk-sharing contracts across multiple counterparties.
SanaFin approach
Standardized contract templates and APIs let you integrate once and scale to unlimited payers without increasing headcount.
Implementation reality
How a pilot works
We move from commercial assessment to production-ready infrastructure in 4 weeks. Most first conversations focus on procurement and operational sign-off.
Contract and workflow assessment→
Week 1: Define contract type, stakeholders, and payout logic. Deliverable: Operational scope document and procurement roadmap.
Verification and exception design→
Week 2: Map data sources (labs, devices, registries) and define fallback paths for edge cases. Deliverable: Verification source map.
Workflow configuration→
Week 3–4: Configure contract logic, roles, and audit trail requirements. Deliverable: Production-ready contract environment.
Automated execution→
Ongoing: Funds are locked in escrow, outcomes are verified, and payouts are triggered automatically. Deliverable: Real-time audit trail.
{"contract_id": "sf_ctr_2024_001","escrow_amount": 100000,"currency": "CHF","risk_share_ratio": 0.8,"outcome_rules": [{"metric": "hba1c_reduction","threshold": 0.5,"source": "lab_api",},{"metric": "adherence_90d","threshold": 0.8,"source": "device_api",}],"payout_timing": "2_hours",}Who It Is For
Designed for institutional stakeholders
SanaFin aligns the conflicting needs of finance, technology, and legal teams into a single high-integrity automated workflow.
Economic Buyer
Payer Innovation Lead / CFO
Needs to price and manage unverified promises. Requires enforceable mechanisms to transfer risk from balance sheet to verifiable outcomes.
Quantifiable risk reduction and budget certainty.
Technical Buyer
Implementation / Product Lead
Needs a scalable way to link data sources to payouts without custom engineering every new contract or partner.
Standardized APIs and 95% reduction in manual ops.
Legal & Procurement
Compliance / Legal Counsel
Requires audit trails, role-based controls, and Swiss-engineered data handling to clear regulatory and operational hurdles.
Audit-ready logs and compliant Swiss design baseline.
Ecosystem Integration
The infrastructure for trustless healthcare operations.
SanaFin bridges clinical data and financial settlement with a secure, automated baseline for value-based contracts.
Instant Verification
Real-time outcome validation from clinical or claims data.
Multi-Party Governance
Rules-based workflows shared between payers and providers.
Institutional Security
Swiss-hosted, GDPR-compliant with immutable audit trails.
SanaFin
Escrow Vault
Payer / CFO
Initial Deposit
Provider
Payout Liquidity
User / Patient
Outcome Evidence
Transaction Latency: < 200ms
SanaFin Institutional Framework
Use cases
SanaFin in practice
SanaFin is designed for any healthcare contract where payment depends on verified outcomes.
Outcomes-based digital therapeutics
Structure payment contracts where DTx providers are paid based on patient engagement or clinical improvement.
Contract: Outcomes-based reimbursement. Trigger: Verified engagement and clinical thresholds. Benefit: Automated revenue recognition for providers.
Prevention program funding
Enable insurers to fund prevention initiatives with payouts tied to measurable health improvements.
Contract: Value-based prevention funding. Trigger: Readmission reduction rates. Benefit: Payer budget certainty through verified risk transfer.
Provider performance contracts
Create performance-based contracts that reward providers for achieving specific quality metrics.
Contract: Quality-based incentives. Trigger: Patient satisfaction and outcome thresholds. Benefit: Scalable incentive distribution with zero manual reconciliation.
Multi-stakeholder risk-sharing
Launch multi-stakeholder pilots where risk and reward are distributed based on verified outcomes.
Contract: Multi-party risk-share. Trigger: Oncology care pathway results. Benefit: Coordinated payout across pharma, payer, and provider.
“We had done three outcome-based deals manually before. SanaFin let us automate the fourth in a fraction of the time — and with full audit trail.”
Healthcare Innovation Lead
Swiss Digital Health Company (pilot phase)
Open methodology
Built on the EDEN Framework
SanaFin is built on EDEN - a set of research-informed contract design patterns for enforceable, outcome-based healthcare contracts. EDEN defines how outcomes should be specified, how verification should work, and how contracts should be structured for auditability and fairness.
The framework is open-source and designed to be reviewed, critiqued, and improved by the healthcare, legal, and fintech communities.
Informed by research from
ETH Zurich
Health economics research
University of St. Gallen
Healthcare management studies
Research-backed methodology
3+
Years of research
12
Published papers
100%
Open source
Common questions
Frequently asked questions
Who holds the funds, and when are they released?
Contract funds are deposited into an escrow account at contract start. Release is rule-based: once agreed outcomes are verified within the contract window, payout is executed automatically according to the contract terms.
Which verification sources are supported?
Any source that can deliver structured evidence can be integrated: laboratory systems, registries, provider systems, and approved device APIs. Verification sources are explicitly whitelisted in each contract.
What happens when source data is missing or disputed?
Contracts define fallback behavior up front, including alternative sources, grace periods, and exception workflows. High-risk or disputed events can be routed to human review before payout.
What is your compliance scope?
The platform is designed with Swiss legal principles in mind and supports GDPR-aware data handling. Legal and regulatory review is still required for each deployment jurisdiction and use case.
How long does implementation usually take?
A typical pilot implementation includes contract and workflow assessment, verification and exception design, and configuration of approval, escrow, and audit steps. This usually spans 2–4 weeks.
Is the first call a sales call or technical workshop?
The first call is a commercial and operational scoping conversation. It is designed for active opportunities, contract planning, or RFP assessment rather than a generic product demo.
Get started
Ready to automate a value-based contract?
This implementation review will map your active contract concept, verification sources, and procurement timeline.