About paradigmVBC

An independent firm, built for the risk economy.

We founded paradigmVBC because value-based care has outgrown generalist consulting. The questions facing operators and investors today — what risk to take, how to price it, how to execute it — demand a firm that does nothing else.

Our point of view


Value-based care is the most consequential shift in U.S. healthcare in a generation.

Over the next decade, more than a trillion dollars of U.S. healthcare spend will move through risk-based, outcomes-linked payment models. The winners will not be the organizations that talk about value — they will be the ones who have built the operating muscle to price it, deliver it, and prove it.

Most strategy firms treat VBC as one of many healthcare sub-topics. We treat it as the only topic. That focus changes the quality of the judgment we can bring to every engagement — from a payer redesigning a shared savings program, to a physician group evaluating a first downside contract, to a private equity firm diligencing a VBC-enabled MSO.

We are builders as well as advisors. Our team has sat on both sides of the table — inside health systems, inside payers, inside enabler platforms — and we bring that operating perspective to every recommendation.

What you can expect


Four commitments we make on every engagement.

Independence

No product to sell, no preferred vendor, no conflicting practice. Our only deliverable is clarity.

Partner-Led

Senior practitioners in the room — not a rotating cast of juniors. The people selling the work do the work.

Decision-Grade

Every recommendation ties to a decision you can take this quarter, not a slide you file next year.

Operator Fluency

We have lived inside the systems we advise. We know the difference between a contract on paper and a contract that performs.

Our approach


How we work.

Every engagement is scoped around the decision at stake. We begin by pressure-testing the question, then build the analytic and strategic foundation to answer it — and stay close enough to execution that the answer holds up.

Step 01

Frame the decision

We refuse to start work without naming the decision, the decision-maker, and the moment it will be made. Most bad strategy starts with the wrong question.

Step 02

Build the evidence

We combine primary research — operator interviews, payer conversations, clinical SME input — with actuarial and claims-level analytics. Evidence, not narrative.

Step 03

Drive the action

Our work ends with a recommendation you can act on — signed, built, or funded. We stay close enough to execution to know when the plan needs to bend.

We are not a firm trying to be everything to everyone in healthcare. We are the firm you call when value-based care is the entire question. — paradigmVBC founding principle

Let's talk about the decision in front of you.

A 30-minute conversation is often enough to know whether we are the right partner. No obligation — just a sharp second opinion.

Schedule a Consultation