End-of-Life Care · Series · Part 1

POLST-First: Where an ACO's End-of-Life Strategy Should Start

Not the highest-ROI intervention per patient, that's early palliative care. But across 225,000 lives, nothing else scales like this.

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End-of-Life Care · Series · Part 2

Palliative Care Is Not a Single Strategy

Why the "contract with a vendor" default is wrong, and why the right answer depends on what your practice already has.

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End-of-Life Care · Series · Part 3

The Hospice Problem Most ACOs Aren't Solving

Live discharge rates, benefit abuse, and why hospice quality has become a strategic priority for risk-bearing organizations.

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Strategy

Why Most ACO Clinical Strategies Fail at the Practice Level

The gap between a sound population health strategy and actual provider behavior change is where most VBC organizations lose. Here's what we've seen work.

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Technology

AI Agents in the EHR: Moving Beyond Dashboards to Workflow Automation

Population health has always had an analytics problem. Now it has a workflow problem. AI computer use agents change the equation.

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Operations

Scaling Care Management Without Linear Headcount Growth

The economics of care management demand a different operating model. How we've built programs that scale throughput without proportional FTE growth.

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Commercial Risk

What Employers Actually Want from Value-Based Care

Self-insured employers have shorter time horizons and different levers than Medicare. Site-of-care optimization and pre-op strategy drive fast results.

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Market

The ACO REACH Market: Who's Winning and Why

A practitioner's view of what separates the top-performing ACO REACH entities from the rest of the field.

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AI Orchestration

Stitching Healthcare AI Point Solutions Into a Cohesive Suite

Voice, back-office automation, ambient scribes, prior auth. It's fragmented. The advantage isn't picking one tool. It's designing the suite around the highest-value actions in your population.

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Growth Consulting

Why Healthcare AI Companies Lose to Their Own Positioning

Most AI tools sold into healthcare lead with productivity claims. VBC buyers don't buy productivity. They buy math that hits the P&L. The repositioning playbook for tech companies entering the risk-bearing market.

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ACO Operations

The ACO Stack: Where Most Operating Models Break

Practice selection. Claims and analytics. Care management. Workflow automation. Most ACOs are good at one or two of these. The compounding gains come from running the full stack as one operating model.

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