I help CIOs turn stuck programs into measurable outcomes.
Five interactive briefings on the decisions that compound — regulatory deadlines, audit defense, and the architecture choices that scale or stall.
Four FHIR APIs. Four ways to build them. Only some scale.
Tap any cell in a live 4×4 readiness matrix to see what scaled vs. stalled at peer plans — plus a countdown to the Jan 1, 2027 deadline.
For mid-size Medicare Advantage plans (200K–2M members) Open the heat map → CMS TEAM Live calculatorSee your downside risk before the architecture locks in.
Enter your surgical case mix and watch Year-2 and Year-3 exposure compute live across all five bundles, with stop-loss phase-in built in.
For community-hospital CIOs, VP Pop Health & CFOs in mandatory CBSAs Open the calculator → V28 Audit Defense Case studyThey passed every V24 sample. Then CMS asked one question.
How a regional MA plan went from a 7-minute scramble to a sub-60-second answer — by restructuring risk-adjustment around chain-of-custody.
For MA plans, Medicaid MCOs & provider-aligned payers Read the case study → VBC Scaling Self-assessmentThe architecture that scaled for one payer silently breaks for many.
Score yourself against the seven warning signs of the five failure modes that surface between payer contract 2 and 4.
For VBC startup founders at Series A or B Take the assessment → Turnaround Methodology Case studyHired to deploy software on a $1B+ stuck program. The real problem was elsewhere.
A state hospital system's three-year EMR failure under AG audit — and the diagnostic-first, co-built, system-that-stays methodology that delivered two hospitals where three years had delivered zero.
For healthcare payer & provider CIOs with a program that has stopped delivering Read the case study →Working through one of these decisions right now?
Bounded fractional CTO engagements with healthcare payer and provider leaders — diagnostic first, co-built peer team second, a delivery system that stays after I leave.