Strategy. Design.
Operationalization.

Helping states translate rural health transformation goals into executable systems of care.

From MIH/CP planning to workforce design, care coordination frameworks, reimbursement strategy, and data architecture, we help states design what works before they build it.

Talk to Our Team View Consulting Capabilities

What We Help States Build

Mobile Integrated Health / Community Paramedicine (MIH/CP)
Connect EMS to primary care and community resources
Rural Care Coordination Models
Design closed-loop care pathways and triage frameworks
Community Workforce Strategies
Build sustainable teams including CHWs, care coordinators, and EMS
Value-Based Care Infrastructure
Align payment models, contracting, care delivery, and performance with outcomes
Remote Patient Monitoring Models
Integrate RPM, CCM, and telehealth into care delivery
Data & Performance Frameworks
Build metrics, dashboards, and evaluation systems
Shared Services Models
Identify opportunities for regionalization, efficiencies, and scale
Community-Based Access Networks
Expand access points to care across rural and underserved communities

Our Proven Approach

1
Assessment & Landscape Review
Analyze current state, assets, gaps, and opportunities.
2
Stakeholder Engagement
Engage partners across EMS, healthcare, community, and state agencies.
3
Model Design
Design regionalized MIH/CP and care coordination models aligned to goals.
4
Policy & Reimbursement Alignment
Align scope of practice, regulations, and reimbursement strategies.
5
Implementation Planning
Create operational workflows, governance, and rollout roadmaps.
6
Performance Frameworks
Define KPIs, data infrastructure, and reporting.
7
Pilot Readiness
Prepare pilots, optimize processes, and set the stage for scale.

Core Consulting Services

Program Design
Statewide model architecture
  • MIH/CP program design
  • Regional care models
  • Care pathways & protocols
  • Service mix & scope
  • Chronic care (RPM/CCM/BHI) integration
  • RPM/CCM model design & operational enablement
Policy & Regulatory Strategy
Align policy with operational goals
  • Scope of practice
  • Regulatory alignment
  • Medicaid & payer strategy
  • Value-based models
  • Medicare billing strategy (RPM, CCM, BHI, TCM, AWV)
Workforce Strategy
Build and sustain the right workforce
  • EMS role optimization
  • CHW deployment models
  • Training & credentialing
  • Workforce pipelines
Implementation Planning
From strategy to execution
  • Operational workflows
  • Technology & tools
  • Governance structure
  • Pilot & scale roadmap
Data & Evaluation
Measure what matters and improve
  • Data architecture
  • Quality metrics & KPIs
  • Dashboards & reporting
  • Continuous quality improvement
  • VBC readiness assessments & technical assistance
PMO & Project Management
Keep initiatives on time, on track, on budget
  • Project governance
  • Milestone management
  • Risk management
  • Communication plans
Featured Proposed Engagement

Designing Vermont's MIH/CP Future

We help Vermont build a coordinated, regionalized model that:

  • Integrates EMS, primary care, and community-based services
  • Reduces avoidable ED use and non-emergent transports
  • Improves transitions of care and reduces readmissions
  • Strengthens rural workforce and ride optimization
  • Leverages data to drive quality, equity, and cost savings
  • Supports shared services and regional sustainability
Our team brings real-world experience designing and implementing these models across multiple states and rural communities.

Why Our Approach Is Different

Operators, Not Just Consultants
We've designed, launched, and scaled models across states.
Implementation Experience
We build and operate programs, so we know what works.
Cross-Sector Expertise
Clinical, EMS, public health, policy, and technology.
Reimbursement Strategists
We align models with payment systems and sustainability.
Rural Health Experts
Deep experience in rural, frontier, and underserved communities.
Our Advisory Team
Hospital in Your Home
Vault Technologies
Maryland Partnership for Prevention
Dr. Michael Young
Clinical Strategy & Rural Health Lead
Tiffany Tate
Public Health Strategist
Novella Tascoe
Healthcare Strategy & VBC Lead
Expected Outcomes
Expand Access in rural and underserved communities
Reduce Avoidable ED Visits & Non-Emergent Transports
Decrease Readmissions & Preventable Admissions
Strengthen Primary Care & Continuity of Care
Support Workforce Sustainability & Expansion
Lower Costs & Improve Health Equity
Need to build the plan before you build the program?
We help states design transformation models that are operationally executable and financially sustainable.
Schedule a Strategy Session