Payers
Enterprise strategy, transformation, and innovation for health plans
HOW WE HELP
Vendor assessment and partnership strategy
Consumer strategy and member experience
Change management and enterprise transformation
We help payers evaluate, buy, build, and scale what actually works. We’ve sat on both sides of the table, inside health plans making buying decisions, and alongside startups trying to break in.
That’s why we don’t just advise. We translate, pressure-test, and execute, so that decisions lead to real outcomes.
WHO WE WORK WITH
Medicaid
Medicare
Commercial
Self-Funded Employers
Accountable Care Organizations
TPAs
MGUs
PACE
Core Offerings
Growth, M&A, and Enterprise Strategy
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M&A target identification, outreach, and pre-diligence
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Enterprise strategy development and portfolio prioritization
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Agile resource planning and post-merger integration
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Diversified business model design and expansion
Consumer & Member Strategy
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Consumer attraction and retention strategies
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Patient- and member-centric engagement models
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End-to-end experience design and optimization
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Consumer insights, segmentation, and analytics
Change Management
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Align clinical, product, network, and ops stakeholders early
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Redesign workflows (not just recommend them)
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Ensure new vendors, tools, or models are adopted
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Build internal champions and measurable accountability
Change Mangement Workshop
Define the Business Result
Defined with leadership & teams executing the work.​
Questions Answered​
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What business outcomes must improve?
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What behaviors must change?
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Who needs to adopt the tool?
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What does success look like at 30/60/90 days?
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How will we measure value?
Standard Adoption Metrics
Determined with Leadership Prior to Kickoff
≥80%
ACTIVATION
≥4.0 / 5
CONFIDENCE
≥3×
WEEKLY USAGE
≥75%
WORKFLOW INTEGRATION
≥70%
REPEAT USAGE
≥90%
FEEDBACK RESOLUTION
Apply Change Management Principles
Co-designed with leadership and execution teams through collaborative work session.
Pre-Work
1-2 weeks before
I
Diagnose Resistance
A short survey sent to all target users identifies specific mental blockers before the session begins — so the workshop is built around real barriers.
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Pre-survey distributed to all participants
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Resistance archetypes identified and clustered
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Facilitators briefed on findings
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Barrier Map drafted as session input
Work Session
4-hour activation sprint
II
Redesign Workflow
A structured half-day where participants work through real resistance, see the tool in context, redesign their workflow around it, and commit to new behaviors.​
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Live side-by-side: manual vs. AI output comparison
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Engineer walkthrough: how the model works and where it is safe
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Workflow redesign: trigger points, roles, and review steps
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Champion identification and commitment exercise
Post-Session
30/60/90 day follow-on
III
Measure Value
Adoption doesn't end when the session does. Champions activate, managers reinforce expectations, and usage is tracked against the scorecard defined on day one.​
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Champions model tool use in team meetings
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Manager communicates and holds usage expectations
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Mid-point pulse survey at 30 days
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Full adoption scorecard review at 90 days
Workshop Outputs
Defined with leadership & teams executing the work.​
Pre-Work
Survey Results Summary
Pre-work findings and adoption barrier map​
Work Session
Post-Session Executive Summary
Priority use-cases, technical enhancements, scorecard, and activation plan
PODCAST
You Can’t Escape the Economics: The Role of AI in Value-Based Care with Rachael Jones
FEATURED ARTICLE
