Healthcare StrategyEst. 2019
On Strategy

Every health system
has a strategy.
Most of them are
a slide deck
collecting dust.

We sit inside boardrooms — not outside them. From reimbursement modeling to clinical workflow redesign, our work is built for the people who've read the same CMS final rules you have.

Clients include

Academic medical centers, rural CAHs, managed care payers

Conference table viewed from above with scattered policy printouts, a pen mid-annotation, and coffee cup — no faces visible
Washington, D.C. · Chicago · Houston

"The argument is airtight
before the meeting starts."

— Recurring client observation

Scroll to read the evidence
01 / 03Academic Medical Center

"We'd hired three consultancies in five years. They all left us with frameworks. Diagnose left us with a functioning governance structure and a reimbursement model that held up through the first MSSP performance year."

Dr. Renata Solís

Chief Medical Officer

Midwestern Academic Medical Center — 847 beds

Hospital corridor with clinical staff walking in the background, soft institutional lighting

Engagement Snapshot

$4.2M

Shared savings, Year 1

Sector

Academic Medical Center

Duration

14 months

System

847 licensed beds · 3-hospital system

Outcome

MSSP Track 1B transition — first-year shared savings achieved

Aerial view of a rural landscape with a small hospital building visible among fields

Engagement Snapshot

+18 pts

Commercial payer mix shift

Sector

Rural Critical Access Hospital

Duration

9 months

System

18-bed CAH · 4-county service area

Outcome

Retained sole community provider designation; negotiated payer mix improvement

02 / 03Rural Critical Access Hospital

"When CMS dropped the new CAH flexibility rules, I needed someone in the room who'd already read the impact analysis. Diagnose had a brief on my desk within 72 hours. That's the pace this work demands."

Marcus T. Webb

Chief Executive Officer

Rural Critical Access Hospital — Southwest Region

03 / 03Medicaid Managed Care

"Value-based care contracts are easy to sign. They're hard to operationalize. Diagnose walked our network through the clinical workflow redesign that made the quality metrics achievable — not aspirational."

Priya Nambiar

VP, Strategy & Network Development

Medicaid Managed Care Plan — 1.1M members

Modern office conference room with glass walls, strategic documents spread across a large table

Engagement Snapshot

7 of 7

HEDIS measures improved

Sector

Medicaid Managed Care

Duration

18 months

System

1.1M member Medicaid plan · 6-state footprint

Outcome

HEDIS composite score improvement across 7 measures; CMS Star Rating maintained

Direct Engagement

Start a Confidential
Conversation

No pitch deck. No discovery call with a junior associate. You speak directly with a principal who's worked your specific sub-sector.

We respond within one business day. No spam, ever.

Insights Paper

Diagnose Advisors · 2026 Whitepaper

The 2026 Value-Based Care
Transition Playbook

How health systems are operationalizing the shift from fee-for-service — including reimbursement modeling templates, governance structures, and the three workflow redesigns that move the quality needle.

I. Reading the CMS Final Rules Correctly

7

II. Reimbursement Modeling Under MSSP

14

III. Clinical Workflow Redesign Frameworks

21

IV. Governance for Value-Based Contracts

28

Not ready for a direct conversation?

Download the whitepaper. Read it before the next board meeting. Come back when the question is sharper.