Insights

Field notes from the seam between payer, provider, and platform.

Short, opinionated POVs on healthcare strategy. Written between meetings, sharpened in client rooms, and tested against actual P&Ls.

Featured · Payer Strategy
6 min read

Payer growth is a product, not a pipeline.

Why the most durable payer organizations of the next decade will look more like product companies than sales orgs, and what that means for how we hire, measure, and ship.

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Value-Based Care5 min read

VBC contracts don't fail in the contract. They fail in the workflow.

A field note on what actually breaks between an elegant value-based arrangement and the clinic that has to live inside it on a Tuesday morning.

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Digital Health4 min read

If your dashboard can't move MLR, it's wallpaper.

A blunt framework for evaluating digital health investments through the only lens that ultimately matters to a payer: did it bend the cost curve.

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Leadership3 min read

The operator's case for empathy.

Why the most underrated skill in healthcare strategy isn't analytical horsepower, it's the ability to read the room three layers down from the executive offsite.

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Equity5 min read

Designing for the populations the system forgot.

Health equity isn't a CSR initiative. It's the most under-priced strategic opportunity sitting on every payer's desk.

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Career4 min read

The case for working the seams.

Why the best healthcare careers I've watched were built deliberately at the intersection of payer, provider, and platform, and how to engineer that on purpose.

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