Healthcare transformation recovery
Every workstream is green. Nothing has changed.
TKO recovers healthcare transformation programs that are behind, over budget, or about to fund automation on top of a workflow that does not work yet — for health plans, healthcare services organizations, managed-care organizations, and PE-backed provider platforms.
Twenty years inside large consulting firms and enterprise healthcare, including prior authorization, utilization management, CMS interoperability, and transformation delivery. That background is why the answer here is a direct one: whether the program is actually recoverable, and what it will cost to find out the slow way. One accountable senior leader — not a pyramid, a staffing ramp, or a quarter-long discovery phase.
3-week Recovery Review
$18,000–$25,000 fixed fee
Fractional lead from $15,000/mo
Principal-led throughout
The recognizable problem
Programs rarely fail inside a workstream. They fail at the seams.
Workstream status answers a local question honestly. Nobody owns the enterprise one — whether the pieces are converging into an operating change. Risk migrates to the boundaries, and the boundaries have no reporting line.
- Every workstream reports green and nothing has changed in the operation.
- A second consecutive milestone has slipped and the explanations do not agree.
- A large automation or AI investment is proposed on top of a workflow nobody has mapped.
- Critical decisions have been waiting on a committee for a quarter or more.
- A new executive has inherited the program and needs an independent read.
- The business case was approved against assumptions nobody has revisited.
Why TKO
Why hire one senior person instead of a firm.
A large firm sells a team and bills the ramp. That is the right purchase for some problems. It is the wrong purchase when the question is whether the program should continue at all.
Direct senior accountability
One accountable senior leader in the room from week one — not a partner who appears at the readout and a team you have not met. The person who diagnoses the problem is the person who signs the finding.
Fast, fixed-scope diagnosis
Three weeks and a fixed fee, not a discovery phase billed by the quarter. A diagnosis that takes six months is describing a program that no longer exists in that form.
Operational and implementation depth
Twenty years across regulated operations, healthcare product, interoperability, and enterprise transformation — plus a production system built and operated end to end. The recommendations come from someone who has had to make them work.
An honest read on AI
Whether AI is appropriate is one of the questions answered, not the assumption the work starts from. Automating a workflow whose authority model was never written down makes the ambiguity faster, not cheaper.
No staffing pyramid
TKO does not sell a bench, a ramp, or a follow-on implementation team. If the right answer is internal execution, an existing vendor, or stopping the program, that is the answer you get.
No technology-first recommendation
The operating problem is established before a platform, vendor, or automation decision is discussed. Sequencing is the difference between a program that changes the operation and one that changes the screens.
Start here
Program Recovery Review
Is this program recoverable, what is actually wrong, and what should happen in the next 90 days?
- Duration
- 3 weeks
- Fee
- $18,000–$25,000 fixed fee
You leave with
- Executive diagnosis — what is actually wrong, stated plainly
- Program risk map with severity and accumulation path
- Recovery priorities, sequenced and bounded
- Decision-rights and escalation findings
- Operating-model and workflow-ownership gaps
- An explicit read on where AI or automation helps, and where it adds risk
- 90-day action plan with owners, measures, and decision gates
- Executive readout session
20+ years in regulated operations
- Apollo Global Management, regulated operations and exception handling
- Sapient, institutional platform transformation
- ELLKAY, CMS Cures Act and FHIR interoperability
- Cognizant, healthcare transformation and payer operations
- Full career record
Employment history, not client endorsements. Each role is publicly verifiable on LinkedIn.
Healthcare proof
Enterprise healthcare experience, with the claim boundary stated.
Prior authorization, utilization management, healthcare transformation, operational recovery, and CMS interoperability — described as mechanism and role. Employment history establishes experience, not employer or client endorsement, and no quantified client outcome is claimed.
Prior authorization & UM
Waiver Enablement via Advanced Notification
Program delivery for a path that removed traditional authorization review for qualifying provider-code combinations while preserving the operational record downstream claims processing required.
Delivery and coordination role. Qualification methodology and medical policy were owned by separate teams. No scale or outcome is claimed.
Review the ExperienceTransformation recovery
Enterprise Program Recovery
Multi-workstream healthcare modernization across claims, care management, provider experience, clinical workflow, eligibility, and member operations — where healthy local status coexisted with unresolved portfolio risk.
Qualitative operating mechanism only. No client, cost, delivery-time, or outcome metric is published.
Review the ExperienceInteroperability
Regulated Implementation
Payer-facing CMS Cures Act and FHIR interoperability ownership, connecting technical exchange to onboarding, access control, auditability, and operating governance.
Establishes relevant regulated-implementation experience, not a claimed client result.
Review the ExperienceSecondary proof
He builds, not only advises.
RachelOS is a deployed, founder-built operating system with durable memory, prioritized work, visible missing information, and human-approved AI. It is secondary proof and it carries a stated boundary: one founder-operated, non-healthcare environment. It does not establish enterprise scale, healthcare compliance, or a causal financial outcome.
Its relevance is narrow and specific: a buyer can inspect how Todd turns fragmented work into explicit workflow, evidence, controls, and handoff-ready operating artifacts — the same discipline applied after a Recovery Review.
Inspect the SystemWho this is for
- Health plans and payers
- Healthcare services organizations
- PE-backed provider platforms
- Managed-care organizations
- Large provider organizations
- Consultancies and system integrators
Not a fit
- General interest in AI without a program or workflow under pressure.
- A request for outsourced staffing, a software platform, or an EHR implementation team.
- A search for guaranteed savings before any baseline exists.
- Enterprise-wide scope with no bounded starting point and no accountable executive.
Program Recovery Conversation
Get an independent read before the next funding decision.
A structured 45-minute working conversation about one program that is behind, over budget, or about to fund automation on top of an unstable workflow.