Our Capabilities

Four integrated practice areas. One paradigm.

Every engagement sits at the intersection of strategy, analytics, contracting, and transactions. We organize our work around the decision — and bring the right disciplines to it.

01

Strategy & Transformation

VBC Strategy & Readiness

Most organizations don't fail at value-based care because of the contract — they fail because the operating model underneath it was never built to hold. We help leaders design the full path into risk: what to take, when to take it, and the internal capabilities required to deliver.

Discuss your strategy

  • VBC market entry & opportunity sizing
  • Risk readiness diagnostic & capability gap assessment
  • Operating model & org design for risk-bearing entities
  • Product & line-of-business strategy (MA, ACO REACH, Medicaid, commercial)
  • Multi-year VBC roadmap & investment case
  • Build vs. partner vs. acquire decisions
  • Risk corridor & glide-path design
  • Governance, incentives & performance management design
02

Commercial

Payer-Provider Contracting

Risk contracts are the most consequential documents in American healthcare — and the most uneven in sophistication. We work on both sides of the table to design, price, and negotiate arrangements that align incentives with the care that actually needs to change.

Get contracting support

  • Risk contract design & structuring (upside, two-sided, global)
  • Actuarial support & benchmark analysis
  • Negotiation strategy & payer positioning
  • Performance guarantees, quality gates & glide paths
  • Stop-loss & reinsurance strategy
  • Sub-capitation & downstream risk flow
  • Attribution methodology & benchmark year design
  • Contract performance diagnostics & renegotiation
03

Analytics & Insights

Population Health & Analytics

The operating dashboard of value-based care is built from claims, EHR, pharmacy, and risk-adjustment data — data that most organizations own but few actually use. We turn those datasets into the four or five numbers that matter, and the levers behind each.

Sharpen your analytics

  • Total cost of care (TCOC) analytics & decomposition
  • Risk stratification & high-risk cohort identification
  • HCC coding accuracy & risk-adjustment integrity
  • Quality, HEDIS & Stars performance diagnostics
  • Network leakage & utilization pattern analysis
  • Care model design & ROI modeling
  • Provider performance & variation analytics
  • Actionable reporting & executive dashboards
04

Transactions

M&A & Growth Advisory

VBC-enabled assets are notoriously hard to diligence — revenue multiples mean little without an understanding of panel quality, contract durability, and clinical operating leverage. We bring a focused lens to buy-side conviction, sell-side positioning, and integration readiness.

Discuss a transaction

  • Commercial & operational due diligence (buy-side)
  • Sell-side advisory & positioning
  • Quality-of-panel & historical performance review
  • Contract portfolio analysis & risk concentration
  • Synergy modeling & integration planning
  • Post-close operating model & 100-day plan
  • Strategic alternatives & portfolio review
  • Market & competitive positioning for investor materials

Who We Serve


Tailored to each stakeholder in the VBC ecosystem.

The same practice areas, applied with a different lens. We adapt our methods to the questions that matter most to each audience.

Health Systems & Providers

From first risk contract to full capitation.

We partner with hospitals, physician groups, IPAs, ACOs, and CINs to design the portfolio of risk arrangements right for their scale and stage — and to build the care-model, analytic, and financial infrastructure to perform in them. Engagements range from risk readiness diagnostics to multi-year transformation roadmaps.

Payers & Health Plans

Programs that drive real provider behavior change.

We work with commercial carriers, Medicare Advantage plans, and Medicaid MCOs to design VBC programs that go beyond shared-savings theatrics — arrangements that actually move utilization, quality, and total cost. From product strategy to provider network design to contract performance analytics.

Investors & Private Equity

Conviction on the assets defining the next healthcare cycle.

VBC-enabled platforms, MSOs, risk-bearing entities, and care-delivery companies require a specialized diligence lens. We assess panel quality, contract durability, clinical operating leverage, and scalability — giving investors the confidence to commit capital or the clarity to pass.

Digital Health & VBC Enablers

Positioning into the risk economy, not just the point-solution market.

We help enabler platforms, care management vendors, and digital health companies sharpen how they position to providers and payers — including ROI frameworks grounded in risk-contract economics, go-to-market strategy, and commercial due diligence.

Which decision are you facing next?

Tell us the question in front of you and we will tell you, in a single conversation, whether and how we can help.

Schedule a Consultation