Stop Wasting $300K-$800K
On Broken Workflows
Healthcare organizations hemorrhage hundreds of thousands annually on inefficient workflows. We use Workflow Economics and AI integration to quantify waste, pinpoint its source, and recover $150K-$600K in 8-24 weeks.
We don't consult. We implement and measure results.
What is Workflow Economics?
Traditional consulting identifies problems. Workflow Economics quantifies the exact dollar cost of inefficient processes, then uses AI to eliminate them.
Measure Waste
Map workflows, calculate time per activity, multiply by FTE costs. Reveals your Translation Tax: the hidden cost of inefficient handoffs.
Example:
Care managers spend 35% of time on unreachable members. At $75K salary, 10-person team wastes $180K annually.
Integrate AI
Deploy AI at friction points: prioritization algorithms, predictive models, workflow automation. Not AI for AI's sake—AI where the waste is.
Example:
ML model predicts member reachability. Care managers focus on high-probability contacts, recovering 35% capacity.
Track Results
Weekly dashboards track recovery. If we don't find at least 3x our fee in recoverable waste, engagement structure adjusts. Results, not activity.
Example:
$75K engagement found $340K waste. Actual recovery: $280K in year 1 (3.7x ROI).
The Workflow Economics Difference
Traditional consultants: "You should optimize care management."
Workflow Economics: "You're wasting $287,000/year on unreachable members. Here's the AI solution that recovers $180K in 10 weeks."
We speak in dollars, not concepts. Implementation, not advice.
Built by Leaders Who've Deployed AI at Scale
10+ years building AI and analytics for Fortune 5 health plans and academic medical centers.
Track Record
6 years developing ML models for Fortune 5 health plan covering 45M members
Delivered $100M+ in measurable insights through operationalized AI models
Built $1B cost models for contract negotiations at top academic medical center
Quantified $120M in shared savings for ACOs through risk adjustment analysis
Now making institutional-grade Workflow Economics accessible to organizations of any size.
High-Impact Workflow Transformations
We apply Workflow Economics and AI integration to eliminate waste across three critical domains.
Care Management Optimization
Recover $150K-$350K annually
The Waste
Care managers waste 30-40% of time on unreachable members and low-ROI activities.
10-person team loss:
$180K-$350K
wasted capacity annually
The Fix
- — AI reachability prediction (85% accuracy)
- — Risk-based prioritization algorithms
- — Workflow redesign (reduce admin burden)
Real Result:
15-person team recovered $280K/year. ROI: 4.2x in first year.
IMPLEMENTATION:
8-10 weeks | 6-12 month payback
Clinical Program ROI Analysis
Identify $200K-$500K waste
The Waste
Programs run for years with no data on actual performance or cost reduction.
Hidden program waste:
$200K-$500K
from underperforming initiatives
The Fix
- — Statistical ROI vs. matched control groups
- — Cost-per-outcome analysis (PMPM, PPPY)
- — Identify which programs to scale or kill
Real Result:
Found 3 underperforming programs costing $420K/year. Reallocated budget, saved $300K.
IMPLEMENTATION:
6-8 weeks | 4-8x ROI in year 1
Risk Adjustment & Payment Optimization
Recover $300K-$750K annually
The Waste
Undercoded diagnoses and incomplete AWVs leave revenue on the table.
20K-member MA plan loss:
$400K-$800K
from missed HCC opportunities
The Fix
- — Claims analysis to identify missed HCCs
- — Predictive models for chronic conditions
- — AWV completion optimization
Real Result:
Recovered $680K in year 1. Ongoing: $250K-$400K/year.
IMPLEMENTATION:
12-16 weeks | Ongoing revenue lift
Product-to-Engineering Translation Tax Elimination
Engineering teams waste 2+ hours per ticket translating Product requirements into technical specs. That's 4,000 hours annually (2 FTE-equivalents) on manual translation work.
Hidden Translation Tax:
$360K/year
2,000 tickets × 2 hours × $90/hour fully-loaded engineering cost
What We Deliver
- — AI-powered requirements translation layer (auto-generates technical specs from Product tickets)
- — Workflow playbooks with week-by-week execution plans and decision checkpoints
- — Engineering capability assessment (skill gaps, infrastructure readiness, technical debt audit)
- — AI financial modeling (token costs, LLM utilization, vendor fees, FTE allocation per product)
TYPICAL RECOVERY:
$240K-$360K annually | Features ship 4-6 weeks faster
Transparent Pricing
Fixed-price engagements with clear deliverables. No black-box fees or surprise invoices.
Executive Playbook
3-week strategic assessment
- — On-site workflow observation (3 days)
- — Time-motion analysis
- — Quantified waste assessment (dollar amounts)
- — 90-day recovery roadmap
- — 40-page executive report
- — Board-ready presentation
BEST FOR:
Strategic planning, budget justification, board presentations
Workflow Optimization
10-14 week implementation
- — Everything in Executive Playbook
- — AI solution design and integration
- — Workflow redesign with process docs
- — Staff training on new workflows
- — Real-time ROI dashboard
- — 90-day post-launch validation
TYPICAL RECOVERY:
$150K-$350K annually
AI Platform Implementation
16-24 week full deployment
- — Everything in Workflow Optimization
- — AI platform selection or build
- — Technical integration (APIs, data pipelines)
- — Model training and validation
- — Talent acquisition support
- — 6-month ongoing support
TYPICAL RECOVERY:
$250K-$600K annually
Milestone-Based Engagement Structure
Fees tied to demonstrated value at each phase. You only proceed when results are validated.
Executive Playbook
Week 0-3
Deliverable:
Quantified waste assessment with 90-day recovery roadmap
Investment:
$23,000
Proceed only if identified waste exceeds 3x Phase 2 fee
Solution Design
Week 3-6
Deliverable:
AI integration plan, workflow redesign, success metrics
Investment:
$27K-$52K
Proceed upon plan approval by leadership team
Implementation
Week 6-16
Deliverable:
Deployed AI solution, trained staff, validated capacity recovery
Investment:
$50K-$98K
50% at launch, 50% at 30-day validation
Performance Validation
Week 16-24
Deliverable:
90-day performance report, executive summary, full handoff
Investment:
Included
Final savings validation documentation
Total Investment: $100K-$173K | Average Recovery: $240K first year | Typical ROI: 2.4x-4.2x
Workflow Waste Calculator
Quantify your hidden care management waste in 60 seconds. No email required.
Care Management Efficiency Diagnostic
Most health plans waste 30-40% of care management capacity on members who are never reached. This calculator shows exactly how much time and money you're losing.
YOUR ANNUAL WASTE:
$0
That's 0 hours per year spent on members who never answer the phone.
CURRENT UTILIZATION:
0%
WITH AI OPTIMIZATION:
0%
PROJECTED RECOVERY WITH AI:
$0
AI prioritization typically recovers 60-70% of wasted capacity in 8-10 weeks.
ADDITIONAL MEMBER ENGAGEMENTS/YEAR:
0
high-quality member contacts per year
Want to see how we'd implement this for your team?
Book Free AssessmentWhat Leaders Say
"The unknowns are killing us. We have no idea what AI will look like in 2, 5, 7 years. Wharton Brown gave us a framework that adapts regardless of what changes."
Don Wharton
CEO, Healthcare Simulation Platform
"We were spending enormous amounts of time validating AI outputs manually. The validation checkpoints framework cut that time by 60%."
Laura Chen
VP of Product, EdTech Company
"Understanding the authoring system is critical. New hires need technical context on how content flows. Wharton Brown's onboarding plans got our ML engineer productive in Week 2, not Month 2."
Ken Martinez
Director of Engineering, Healthcare EdTech
$240K
Average waste found per engagement
4.2x
Average ROI in first year
10 weeks
Average time to implementation
100%
Client satisfaction
Why Organizations Choose Wharton Brown
Measurable Results
Average recovery: $240K in first year. Every engagement includes real-time ROI tracking dashboard. We measure every dollar saved.
Fast Implementation
Results in 8-10 weeks, not 6-12 months. We implement, not just advise. Your team is trained and operational quickly.
Validated Approach
Milestone-based structure ensures value at each phase. Proceed only when results are demonstrated, not promised.
Focused Expertise Across Core Sectors
HEALTH PLANS
HEALTH SYSTEMS
HEALTH EDUCATION
Book Your Free Assessment
30-minute call. We'll calculate your waste, show recovery opportunities, and outline a 90-day plan. Zero obligation.