Insights

Perspective on the risk economy.

Our research, frameworks, and commentary on the operational, contractual, and strategic questions reshaping value-based care.

Strategy · 8 min read · April 2026

Risk Readiness Is a Capability, Not a Contract

Most organizations underestimate the operational scaffolding required to succeed in downside risk. Here is the diagnostic we use before signing — seven capabilities that separate performers from payers-of-shared-losses.

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M&A · 10 min read · March 2026

Diligencing the MSO: A Quality-of-Panel Playbook

A practical framework for evaluating VBC-enabled assets. Why revenue multiples are misleading without panel quality, contract durability, and clinical operating leverage — and how to pressure-test all three.

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Analytics · 7 min read · February 2026

Total Cost of Care: The Metric Everyone Reports, Few Use

TCOC is the common currency of VBC — and the most misused number on the dashboard. A guide to building TCOC analytics that actually drive operating decisions, not retrospective scorecards.

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