Services and pricing
For healthcare leaders: trace an approved obligation through the systems and teams that must deliver it. For high-consideration firms: own buyer education, inquiry capture, and follow-up with human-reviewed AI drafting.
$15,000 fixed · 3–4 weeks
For health plan COOs, CIOs, VPs of Operations, VPs of Transformation, and regulatory-program sponsors facing CMS-0057-F, state prior-authorization mandates, or core platform migrations.
See the scope$7,500–$15,000 build · fixed scope
Optional support: $1,500–$3,000 per month
For wealth advisory firms, luxury services, and boutique practices that need their own buyer education, inquiry capture, and accountable follow-up workflow.
See the scope01
Where to start
2 weeks
$7,500 fixed · standalone diagnostic
What is actually slowing the business down—and what is the smallest useful fix?
In two weeks, I follow one important workflow, talk with the people doing it, and inspect the tools and handoffs. You leave with the diagnosis, a build specification, a fixed-price proposal, and a starting measure. The diagnostic defines the fix; implementation is a separate step.
What comes next: If the first fix is worth building, the diagnostic ends with a separately priced build proposal. The specification is yours. There is no automatic fee credit; any reuse of diagnostic work and its effect on the build price are stated in the proposal. Existing signed terms are honored.
02
Fix the constraint
4–8 weeks
$7,500–$15,000 build · fixed scope
Own the path from buyer research to a human-approved next step.
I connect useful buyer content, permission-based inquiry capture, relationship context, and a daily action view around your existing tools. Where model drafting is useful, an operator reviews the exact message before sending. The fixed scope names the sources, integrations, controls, owner, and starting measures.
What comes next: After launch, your team can own the system or TKO can continue with Operate & Improve. The next step is optional and separately scoped.
03
Keep it working
Monthly · 3-month minimum
$1,500–$3,000 per month
Keep the system useful after launch.
I keep the operating loop healthy, fix what drifts, review what the team is seeing, and make one focused improvement at a time as the business changes.
What comes next: When the quarterly review finds a new constraint worth fixing, it becomes the next build. If you need senior operating help beyond the system, a fractional arrangement can be discussed.
04
Trace the mandate to the work
3–4 weeks
$15,000 fixed · 3–4 weeks
Turn healthcare mandates into executable, auditable operational change.
In 3–4 weeks, I follow one approved mandate or platform transition through Policy → Obligation → Capability → Workflow → System → Control → Owner → Evidence → Outcome. You receive the obligation register, cross-system impact map, gap and ownership matrix, implementation backlog, and a readiness readout showing what is proven and what still needs a decision.
What comes next: Client delivery teams execute the backlog. Optional Execution Assurance follows one named workstream through evidence reviews, dependency resolution, acceptance reviews, and sponsor decisions. Its cadence, capacity, term, and fee are agreed separately after the sprint.
How pricing works
Every engagement states the problem, the outcome we are aiming for, what is in and out of scope, and what you own at the end.
The diagnostic is the smallest useful step when the business feels stuck but the first fix is not obvious.
Builds are fixed-price by phase. We define the workflow, tools, users, review steps, and result before implementation. You own the code, configuration, and documentation.
Planning for next year? We can discuss the project now and agree on a start date against your priorities and my availability.
Operate & Improve is optional. It keeps the system matched to the business after launch, without turning the engagement into open-ended consulting.
A useful starting point
One principal · Priced up front
Bring one healthcare mandate, platform transition, or client workflow that needs a clear path to delivery. In 30 minutes, I will talk through the decisions, systems, and dependencies with you, then identify the right scope and next step.