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Advisory & consulting · AI-enabled

Better decisions for the work that matters, starting with U.S. health care.

Senior advisory and consulting for health plans, provider groups and health-tech companies. We help leaders turn good ideas into programs and contracts that work, with engagements sized to the need, from a few hours of counsel a month to a hands-on build.

Try the free tool See how we help

2026 is fully committed. Now reserving 2027 engagements.

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See how we work with data

We build our own AI-enabled tools from public data. This one is free to use.

Free tool · sample of our work Medicare Star Ratings Explorer

2026 and 2027 CMS Star Ratings by contract and measure, the gap to the next cut point, and a zip-code market screener. The free edition covers New Jersey; the national edition is available to licensed clients.

Open the Explorer ↗

How we help

A few situations we see often

Our work spans strategy, operations, finance and analytics for health plans, provider groups and the companies that serve them. The three examples below show how we think. We have worked this ground as a health plan buyer and as an operator taking on risk, so we know what each side needs to succeed.

For health-tech and service companies

Taking your solution to health plans

“Health plans like the demo. The pilot never gets signed.”

Health plans don’t buy features. They fund what changes medical cost, quality ratings and member experience for a clearly defined group of members, and they need to see how it will be measured before they commit.

How we help

We help you speak the plan’s language: who your solution is for, what it changes, and how a plan would measure it. Then we shape a pilot a plan can approve and stay with your team from the first meeting through launch.

You walk away with

A payer-ready value case, a pilot design a plan can say yes to, and a team that knows what plan decision-makers need to hear.

For vendors and provider groups

Pricing for value

“We offered to share risk. The health plan still didn’t sign.”

Many companies assume that putting fees at risk is the fastest route to a payer contract. In practice, health plans rarely want to take on someone else’s risk. What they need is confidence: a clear picture of what they’ll spend, what utilization to expect, and where real savings could come from.

How we help

We start from how plans budget and approve spending. Together we define the members your solution should serve, set realistic utilization and cost expectations, and structure pricing so the plan sees its worst case up front, with shared savings that become credible when the program is well targeted.

You walk away with

A pricing structure plans can approve, a one-page value story your sales team can explain, and a clear path from a first contract to deeper value-based terms.

Every market and contract is different. Talk with us about the structures health plans actually sign.

For health plans, provider groups and care teams

Programs for high-risk members

“Our program launched. The numbers haven’t moved.”

Annual wellness visits, transitions home from the hospital, chronic care and care gap closure succeed or fail on the details: which members you reach, when you reach them, and what gets in their way. Often the barrier isn’t medical at all.

How we help

We look at your program the way an operator would: who it targets, how the work actually flows, where members fall through, and how results are measured. Then we fix what matters most and set up tracking your leadership will trust.

You walk away with

A sharper program, a performance view leadership trusts, and an internal team ready to run and improve it after we step away.

In every engagement: we pair the business result with AI capability your team keeps, including the models, dashboards and workflows we build together and the skills to extend them.

We also help with

  • Medicare Advantage product and benefit design
  • Star Ratings and quality improvement
  • Market entry and growth strategy
  • Vendor selection and contract negotiation
  • Operating cost and staffing models
  • Financial modeling and P&L turnarounds
  • Analytics and dashboards from public and internal data
  • AI skills and workflows for your teams

Facing something not listed here? Tell us about it. If it sits where care delivery, operations and health care economics meet, we can likely help.

Working together

Senior expertise, sized to the need

Many decisions don’t need a full-time hire or a large consulting team. They need the right experience at the right moment. Bring us in for as much or as little as the work requires.

Lightest touch

Advisory

An experienced sounding board for leadership, a few hours a month. Pressure-test a strategy, a pricing proposal or a payer pitch before it goes out, and get a clear point of view when a decision can’t wait.

  • Standing monthly advisory sessions
  • On-call review of key decisions and materials
  • Executive and board preparation
Defined scope

Focused project

A specific question answered in weeks, not quarters. We deliver a finished, decision-ready piece of work your team can act on immediately.

  • Value cases and ROI models
  • Pricing and contract structure
  • Program diagnostics and market assessments

Staffed with partner firms.

Hands-on

Embedded engagement

We work alongside your team for a set period to design, launch and measure, then hand everything over with the skills to sustain it.

  • Program design and launch
  • Performance tracking and analytics
  • Team coaching and AI enablement

Staffed with partner firms.

Delivery partners

For focused projects and embedded engagements, we team with two established consulting firms. You get senior leadership from us and the delivery capacity of a larger team, without paying for one before you need it.

Get in touch

2026 is fully committed. Reserve your 2027 start.

Whether you need a few hours of advice a month or a hands-on engagement, tell us about your organization and the decision in front of you. We’ll set up a 30-minute conversation.

Email to reserve Johnny Chen on LinkedIn ↗