AI-Powered Advisory
Apply the Model Optimal Care framework to your health plan with an intelligent consulting partner trained on the strategies, data models, and principles from the book.
Most consulting engagements start with a thick slide deck and end with a shelf full of recommendations that never get implemented. The Model Optimal Care consulting approach is different.
We combine the structured framework from Model Optimal Care with a proprietary AI agent trained on the book’s principles, data models, and implementation strategies. This creates an advisory experience that is faster, more consistent, and grounded in the same evidence-based methodology that has delivered tangible cost reductions for self-insured employers.
Whether you are a benefits director looking to optimize your plan, a TPA seeking a competitive edge, or a broker advising self-funded clients, the MOC consulting approach and custom AI agent give you a structured path from diagnosis to results.
A structured, four-step path from where your health plan is today to where it needs to be.
We analyze your current plan structure, claims data, vendor contracts, and cost trends to establish a baseline. The AI agent identifies patterns, anomalies, and immediate opportunities.
We map your plan’s current state against the five MOC principles and identify gaps in transparency, accountability, integration, engagement, and technology enablement.
We deliver a prioritized action plan with measurable targets, vendor accountability benchmarks, and a concrete 90-day implementation roadmap.
The AI agent continuously monitors plan performance against established benchmarks and flags emerging risks, cost anomalies, and optimization opportunities.
Coming Soon
A new AI agent, trained on the Model Optimal Care framework and the principles from the book, will soon be available for licensing to self-insured plans, TPAs, brokers, and consultants.
The MOC AI Agent applies the same analytical logic and decision frameworks described in Model Optimal Care to your plan’s actual data. It identifies waste, flags anomalies, evaluates vendor performance, and recommends targeted interventions — all aligned with the five MOC principles.
Licensing details and pilot opportunities will be announced soon. Sign up for the newsletter to receive updates.
MOC Consulting is designed for organizations and professionals ready to move from reactive cost management to a structured, data-driven approach:
Get the latest on healthcare cost containment, the MOC framework, and upcoming Academy courses.
Get the latest on healthcare cost containment, the MOC framework, and upcoming Academy courses.
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