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SERVICES

Strategic Design & Planning

A clear-eyed plan for entering or expanding value-based arrangements — built around what your organization can actually execute.

The Problem

Most value-based strategy fails at the same point: the plan assumes an organization that does not exist yet. Committees decide to "move toward risk" without knowing which contracts they could survive, which providers would participate, or what the first eighteen months actually require. The result is a strategy document nobody uses and a contract nobody was ready for.

We start from your operating reality — your provider mix, your data, your payer relationships — and work forward from there.

What We Do
  • Readiness assessment: across operations, finances, network, and data infrastructure, for an honest picture of what you could take on today versus what needs building first

  • Network assessment and adequacy review: including gap analysis and post-acute network design

  • Model selection: which arrangements fit you - MSSP, Medicare Advantage, commercial risk, Medicaid - and, just as usefully, which to decline

  • Risk-based and value-based contract design: including what to negotiate before signing rather than discover afterward

  • Entity structuring: for organizations forming or restructuring a CIN, ACO, or IPA

  • Phased roadmap: with sequencing, owners, and the decision points where you should reassess

What You Get
  • A written assessment of where your organization actually stands, not where a framework says it should

  • A recommended model and payer sequence with the reasoning laid out, so leadership can interrogate it

  • A phased implementation plan with realistic timelines

  • A defensible answer for your board on why this arrangement and why now

Results

From 14% over benchmark to more than 8% under, in less than 3 years.

​A hospital-based ACO, turned around through strategy and operational execution together.

Image by Scott Graham

Let's talk about your risk arrangements.

Customized service, delivering experience & expertise

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