Practical strategy for complicated healthcare decisions.

Derek Raynes leaning against a tree outdoors on the University of Vermont campus.
Derek Raynes leaning against a tree outdoors on the University of Vermont campus.

Healthcare organizations and employers do not lack information. The challenge is understanding how healthcare, payment, contracting, operations, and implementation intersect. I help leaders evaluate the tradeoffs and move forward with practical next steps.

I work with

Clinicians and physician leaders
Practice and healthcare organization leaders
Employers and benefits leaders
Associations and other healthcare partners

Areas of focus


Healthcare payment and purchasing strategy

Understand payment models, assess contract economics and business terms, prepare for negotiations, and navigate payer, vendor, ACO, and managed care relationships.


Practice operations and organizational strategy

Clarify priorities, evaluate options, strengthen operations, and support implementation and sustainable change.


Education, advocacy, and leadership

Translate complex healthcare issues, develop useful education, strengthen advocacy, and provide practical guidance to leaders.

Have a specific challenge in mind?

Let’s talk through the issue and determine whether I can help.