All services

Healthtech, care management, VBC, payer-facing, and provider enablement teams

Payer Strategy and Value-Based Care

Payer and value-based-care GTM support across reimbursement logic, VBC economics, managed care narratives, care-gap proof, and buyer-ready value realization.

When this work matters

A payer, provider, or risk-bearing buyer is interested, but the economics, proof path, reimbursement logic, and implementation burden need to be made boardroom-clear.

Founder problem

The product may create value, but the buyer does not yet see the economics, reimbursement path, proof gates, or implementation model clearly enough to act.

What gets built

  • Payer-facing narrative around cost, quality, access, care gaps, and operational feasibility.
  • Value-realization model that separates verified proof from assumptions and opportunity ranges.
  • Account and partner prioritization based on buyer pain, economics, and launchability.
  • Executive materials that help CEOs and CFOs decide what to fund next.

Proof patterns

  • $3.2M+ VBC contracts across payer/provider contexts.
  • HEDIS/Stars, RAF/HCC, CMS-HCC V28, Managed Medicaid, Medicare Advantage, CKCC/KCC, and care-gap economics fluency.
  • Claims-informed opportunity mapping converted into provider and service-line decisions.

What not to do

  • Do not pitch value-based care without a measurable proof path.
  • Do not blend Medicare ACO economics with Medicaid or HRSN value without labeling the lens.
  • Do not assume every mission-aligned partner is financially launchable.

Decision questions

  • Which payer pain is urgent enough to create action?
  • What value proof will survive CFO scrutiny?
  • What implementation burden could block the sale after agreement?

Build the wedge. Prove the motion. Scale what repeats.

For Series A/B teams that need sales, partnerships, implementation, payer logic, and revenue intelligence to become one operating system.