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Engagements · Fixed fee · Published prices · Named lead

Senior judgment, at a price you know before the first call.

Compare the scope, price, and timeline for each engagement below. A named principal leads the work, and you keep the findings whether or not you continue with us. Start with the area that fits your priorities.

Door one

Govern AI

Led by Carmen Wiedenhoeft with our privacy and compliance lead

Most healthcare organizations are already buying AI: ambient scribes, prior-authorization tools, patient messaging, coding assistants. Few have a structure that says who owns each one, what it may decide, and what a human must still sign. We establish clear ownership, review requirements, and human controls, with ongoing governance support available.

AI Governance Program Build

$24,500 fixed

Health systems, medical groups, MSOs, health plans · 6-8 weeks, remote

An inventory of every AI tool in use and the data it touches. A risk-tiering rule set. A governance charter and committee design that fits your existing compliance structure. Human-control checkpoints for each use case, drawn from a workflow-mapping method that has run governed agents in production. A vendor intake standard, the disclosure and consent positions you will take with patients, and a twelve-month operating calendar. Written for the board and the auditor at the same time.

Clinical AI Vendor Review

$9,500 per vendor

Any organization with an AI contract on the desk; investors reviewing a portfolio company · 2-3 weeks per vendor

An evaluation protocol you can rerun: test cases, acceptance thresholds, failure modes, language and population coverage. A workflow-fit finding that shows where the tool changes who decides what. A contract and data-rights review covering training-data use, de-identification claims, subprocessors, breach terms, and model-change notice. A written go, go with conditions, or no. Second and third vendors in a batch are $6,500 each.

Fractional AI Governance and Privacy Office

$6,500-9,500/mo

Organizations under roughly 1,500 staff that must name a privacy official and need someone accountable for AI · Monthly, twelve-month minimum

The designated privacy officer role, held by our privacy and compliance lead, a former Fortune 6 global privacy director. The AI governance committee, chaired and run for you. Quarterly inventory refresh, incident and complaint handling on call, policy maintenance, and a monthly evidence packet in the same format as our operations reports. Two days a month at $6,500; three to four at $9,500.

Door two

Modernize operations

Led by Carmen Wiedenhoeft

Thirty years of running operations at scale, from a $5B automation program to a national health-system deployment to a membership operation that runs today. We use workflow mapping to identify practical improvements, assess where agentic workflows fit, and build a costed plan for operations modernization.

Operations Modernization Review

$12,500 fixed

CEOs and COOs of 50-500 person provider organizations, MSOs, and health plan operations · 3-4 weeks, remote

Your operations mapped end to end in nine layers: phases, steps, human actors, agent actors, systems, controls, governance checkpoints, communications, and gaps. The manual load quantified. Three to five agent-ready workflows scored on feasibility and payoff, each with a build, buy, or wait verdict. A costed modernization roadmap and a board readout. No patient data is needed; this is process work.

Agentic Operations Pilot

$45,000-85,000 fixed

Organizations holding a Modernization Review roadmap · 60-90 days

One production agentic workflow, or several, built and run with the human controls from your review as the acceptance criteria. Quoted only from a review roadmap, never sold cold. Priced by workflow count and complexity.

Coverage Continuity Diagnostic

$32,000 fixed

Medicare Advantage plans, delegated medical groups, health systems with an enrollment function · 4-6 weeks

The member journey mapped from enrollment through renewal, every handoff and system named. Churn at redetermination and reconciliation losses quantified from your own eligibility and payment files. The five failure points ranked by dollars, with a remediation plan and owners. Runs under a Business Associate Agreement on your tenant or our isolated environment.

Delivery Program Recovery

$28,000 fixed

Health systems and vendors with a large deployment that has stalled · 4 weeks

An independent read of where the program actually is versus the status reports. The three decisions needed to move the program forward, with options and costs. A reset plan with a ninety-day cadence. A steering seat for the reset quarter is quoted separately. This is the work of someone who has run a hundred-person delivery organization inside a national health system.

Door three

Protect data and get through the deal

Led by our privacy and compliance lead and Kurt Wiedenhoeft

Build a privacy program or prepare for a transaction with a clear view of your obligations, systems, and risks. Our privacy and compliance lead, a former Fortune 6 global privacy director, leads privacy review; Kurt assesses IT and security. Together they turn findings into a practical remediation plan.

Privacy Program Build

$22,500 fixed

Seed to Series B health-tech companies; VC and incubator portfolios · 6-8 weeks

A data inventory and flow map. A regulatory applicability decision: HIPAA covered entity, business associate, or neither; CCPA, GDPR, the FTC Health Breach Notification Rule, state consumer health data laws. The policy set and notices, the vendor and subprocessor program, a privacy-by-design review of the product itself, and the diligence binder an acquirer expects. Portfolio program: $14,500 per company at five or more, with a shared playbook.

Transaction Diligence and Readiness

$35,000-60,000 per target

PE roll-ups of clinics and MSOs, health systems acquiring practices, digital-health acquirers; owners preparing to sell · Inside the deal timeline

Buy side: a diligence report on IT, security, privacy, and AI assets, including model provenance, training-data rights, and the consent basis for the data the models were built on. Sell side: an $18,500 readiness assessment to identify gaps before buyer review, with remediation quoted from the findings.

Door four

Run IT

Led by Kurt Wiedenhoeft

Understand the condition of your systems through a fixed-fee assessment, then choose the support your team needs. Monthly retainers cover technology leadership, daily operations, and engineering against an agreed modernization roadmap.

Assessments

Practice IT Checkup

$4,500 fixed

Independent practices, 1-3 providers · 1 week, fully remote

Security posture, backup reality check (does a restore actually work?), a HIPAA quick-gap review, and the five riskiest findings ranked. You get a written findings memo and a one-hour readout with a prioritized fix list that your current IT person, or we, can execute.

IT & Security Snapshot

$18,500 fixed

Clinic groups, MSOs, and community health centers · 2-3 weeks, fully remote

A full security review with restore verification, a HIPAA gap assessment and policy inventory, a systems and architecture map, and a vendor spend review. The deliverable is board-ready: findings, an 18-month costed roadmap, a 90-day remediation plan, and a funding map showing which grant programs can pay for the work. Priced below the federal micro-purchase threshold, so most health-center boards can approve it without a competitive procurement.

V28 Revenue Impact Diagnostic

$6,500 fixed

Medicare Advantage primary-care groups and MSOs · Typically 3 weeks from data receipt

Your RAF trend across the V24→V28 transition, quantified from your own payment files: where the decline concentrates, a coding-accuracy review that surfaces gaps and over-coding alike, and the documentation findings behind the numbers. A quantified answer to “where did our revenue go,” with a compliant remediation plan. The fee credits toward any ongoing engagement.

Ongoing operations

When an assessment turns into ongoing work, it runs as a monthly retainer scoped from the roadmap: a named senior owner, a defined schedule, and a monthly report with completed work, supporting records, open findings, and next steps.

Retainer What it covers Price
Foundation A named executive owning technology strategy, vendors, budget, compliance calendar, and board reporting $8,500/mo
Operations The whole department, run for you: service desk, continuous security cadence, HIPAA policy program, monthly evidence report $14,500/mo base
Transformation Operations plus dedicated engineering against a modernization roadmap: integrations, reporting, custom tools from $22,000/mo

Additional work

Risk-adjustment analytics (V28/RAF)

Coding-accuracy and documentation-gap reporting for Medicare Advantage groups, bidirectional by design

$3,500-6,000/mo

Custom development

Fixed-bid applications and integrations

$25K-150K typical

Grant funding support

Funding-map and application support for grant-eligible IT work

separate engagement

Discuss your next priority.

Tell us what needs attention. In a 30-minute introduction, we’ll discuss your situation, relevant engagements, and possible next steps.

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