Start with a 20-Minute Readiness Conversation
Tell us what you are implementing and where execution is getting difficult. This introductory conversation is not the full review; we will discuss your priorities and whether a review would be useful. If there is a fit, we will define the scope, deliverables, timeline, and fee before work begins.
If We Define a Review Together
The 20-minute conversation is not the full review. If there is a fit, scope is defined before work begins. A review may include the following six deliverables, tailored to the initiative and organization.
See the kind of implementation work this can support
Review the existing Medicaid implementation and assurance work, then use this form only when you are ready to start a conversation about your own initiative.
A structured assessment of the gaps between the initiative's requirements and the organization's current operating capacity.
A documented view of how the work actually flows -- who decides, where handoffs occur, and where the process depends on undocumented knowledge.
A clear record of which responsibilities are unassigned, under-resourced, or held by individuals without institutional authority to act.
A mapped list of cross-functional, vendor, regulatory, and timeline dependencies that affect whether execution can proceed as planned.
Prioritized actions the organization can take before or during implementation to close the gaps identified in the assessment.
A summary designed to inform executive decisions about go/no-go timing, resource allocation, and risk tolerance before the initiative advances.