Different doors, one conversation.
Hospitals & health systems
Your commercial rates are flat, a dominant payer is dictating terms, and the board wants a value story that does not just shift revenue out of the hospital.
Where we startPhysician groups & CINs
You are being asked to take risk without the data, the care management staffing, or the governance to carry it — and the gain-share math has never been explained to your members.
Where we startInvestors & portfolio companies
You are underwriting a provider asset or a risk-bearing platform and need someone who can tell you whether the value-based thesis survives contact with the actual contracts.
Where we startConsultants & referral partners
You have a client who needs provider-side contracting or network work that sits outside your lane. We take the piece, credit the relationship, and hand it back.
How we partnerWhy we started Sevenya.
Sometimes it is easier to hear it than to read it.
Fee for service is ending. Most transition plans are still a slide deck.
Commercial and governmental payers have been remarkably clear. The organizations that struggle are rarely the ones that misread the direction — they are the ones that signed a risk arrangement before they had the people, data, and governance to carry it.
That gap is the whole reason we exist. Decades of experience from the payer side of the table, now working for you — through negotiation and past it.
Operators who have run the network, signed the contract, and answered to the board for the result.
A benchmarking deck, a staffing agency, or a firm that will tell you risk is easy.
Small senior teams. No junior bench billed at partner rates. We stay through implementation.
Providers and the employers who buy from them — and occasionally a payer serious about working better with providers.
What we are reading, and what we make of it.
Coverage is shrinking, cost-sharing is rising, and primary care use is falling
What a decade of employer-coverage data means for value-based networks — and the case for a first-dollar primary care layer underneath the deductible.
Higher deductibles are a headwind to timely primary care. They shift care to higher-cost modalities and reduce the possibility of primary care winning in value-based contracts.