Delane brought her two FY-strategy leads — Tam Duong (Director, Health Systems Transformation) and Sinead Forkan-Kelly — to hear the thesis from Michael directly. Explicitly future-thinking, not current ops (Duncan and Community Health parked). Michael put it flatly: there is no way COHO gets budget to pay FHG, so the AMA program has to become a standard that someone other than the AMA pays for, with FHG doing the measurement.
Delane widened the circle to the people who will write the strategy. The place to raise it again is the Aug 27 COHO & FHG planning session.
The four pillars are the “purposeful collision” loop — access, outcomes, clinician burden, cost. Swap the funder in and out: philanthropy or the health plan, same loop. And it is chassis-agnostic — “it’s not always our chassis.” In the OCHIN model FHG just takes the aggregate; the job is to grow the AMA’s data asset, wherever it runs.
Page A — philanthropy funds → free clinics deliver → FHG + AMA (the Community Health Chicago prototype). Page B — keep FFS + a prospective PMPM ($50–$100/mo) + shared savings; 16th Street FQHC / Molina; Solventum codes as a placeholder for the AMA’s; OCHIN + WCHQ as the data rails. Molina is “all in” on a ≤2-page amendment.
The cleanest first membership subset is provider-owned plans — every dollar saved for the plan flows back as top line to the owning system, a double win, sold “with Gilligan and his golf bag.” The middle-ground growth lane is Phil Levy’s mobile vans — cardiovascular, drawing unsolicited plan inbound, warm on Delane’s signal.
She walked the pitch to ground: the real audience is philanthropy, not the health system. Three challenges — need more proof points of FHG success in free/charitable operations; it’s a risky-payor moment for that audience; and the ask bundles the clinics + FHG banner + an AMA slice. Treat these as the next-iteration list, not resistance.
Tam Duong — ~5 yrs AMA (prior CHE), ~7 yrs IHI; leads the clinical facilitation team + the tiered-products conversion + CAC education; owns the “can the program make money” riddle. And live at the close: the new COHO GVP is from Detroit — Phil Levy’s close friend — confirming the Denise Fair Razo ↔ Phil Levy bridge (via Subbu).
FHG has a live demonstration site at Community Health Chicago — 3,400 people on the platform, SDOH data coming in, cancer screening being built now. There are 30+ free clinics in Chicago. They are collapsing. Meghan Phillipp is the central hub for the entire nonprofit community in all of Illinois. She has access to the philanthropic community, the city of Chicago, and the state. The ask is $20 million. AMA writes no check. FHG runs the platform.
You’ve been on all these emails. Nothing’s happening. If you’re stuck, say so. But we need to get going — or you’re going to have a happy little story at Community Health while Coho dies around it.
The Director of Growth Operations is already on the platform and loves it. SDOH data — transportation, housing — being built in now. Cancer screening overlay coming. Language work for a Polish- and Spanish-dominant population (one English-speaking person on site) is coming together. Emily re-engages with patient-level data when those go live. This is almost ready. Finish it.
Ethan Maddy works for Humana. Michael met him at the AMA. Kate, you sit on the WayForward Resources board — that’s the connection. Subbu connected with Ethan 6/26. FHG owns this — keep it moving, don’t stall on who has the next step. Understand what he knows. Understand who he can convene. “He’ll talk to you.” Do this before you call Meghan. Note: when the Meghan demo is ready, it will be its own dedicated fhglabs.studio site — not folded into this page.
Meghan Phillipp is the central hub for the entire nonprofit community in all of Illinois. She is trusted across the city. She doesn’t have a day job — this IS her work. Do not go to her with a question. Go with a plan. The plan is: FHG has a live site. 30+ Chicago free clinics on MAP metrics. Meghan convenes the philanthropic community, the city of Chicago, and the state of Illinois to fund the deployment. AMA writes no check. FHG provides the platform. Build this before you call.
When the demo site is ready, invite the Chicago free-clinic network in for a Thursday evening. Appetizers. Let Community Health’s own clinicians run a tour of how they’ve configured it for their population — SDOH, cancer screening, Polish and Spanish language overlays, chronic disease management. FHG does not present. The clinicians present. That’s how the model spreads — clinics sell each other.
The specific ask to Meghan: get the philanthropic community, the city of Chicago, and the state of Illinois to fund a $20M deployment. A portion of that comes to FHG to stand up the sites. Meghan convenes. Ethan bridges to Humana. FHG provides the platform. Community Health is the proof it works — 3,400 people on the platform today. That is not a pilot. That is a model. The number is $20 million. Say it.
Fitchburg Library · June 24, 2026
To Do.
Every commitment from the Fitchburg Library session. Check items off as they land.
-
Michael · By Friday, June 27
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Kate + Michael · Before Friday, June 27
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Michael · Done / confirm sent
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Michael · Now
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Pam + Mel · After Friday, June 27
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Michael · Before whiteboard session
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Michael · Next week
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Mel / Kate · Soon
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Pam + Kate + Michael · Soon — FHG owns it, keep moving
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Michael + Sean · By mid-July
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All · By mid-July
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Subbu · Before next billing cycle
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Subbu · Q3 2026
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Subbu + Michael · Q3 2026
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Michael · Q3 2026
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All · Weekly
AMA · June 2026
4 Questions
for Today.
These are what we are here to figure out. No owners yet — that is part of what we are solving.
AMA · Contract Revenue
Revenue.
Two active business units — PS2 and COHO — under one MSA. 2026 committed TCV: $1,582,000.
- PS2 SOW 2 · Jan 10–Dec 31$852,000
- IHO SOW 4 · Jun 6–Aug 31$522,000
- IHO SOW 5 · Nov 12–Dec 31$240,000
- Total$1,614,000
- PS2 SOW 6 · Jan 1–Dec 31$852,000
- COHO SOW 7 · Feb 27–Dec 31$480,000
- COHO SOW 8 · Feb 27–Dec 31$250,000
- Total$1,582,000
01 2026 Payment Milestones
AMA · Master Agreement
MSA
Renewal.
This is the biggest timeline driver in all of it. The MSA governs every SOW. Acting promptly on renewal is not optional.
01 Renewal Action Items
Re-paper MSA §17 Notices Contact
Nankivil is the named §17 contact and she is done. Nothing actionable flows through her now. Go to Tutty: who replaces her? This is both an administrative task and a useful signal about who Tutty trusts at the legal-notice level.
Get a thread with Loebach before the renewal conversation starts
Loebach will sign the next MSA. She replaced Hagerty in approximately March 2026. FHG has no prior thread with her. A warm introduction through Tutty — framed as a courtesy, not a negotiation — is the target. Do not let the first Loebach interaction be the money conversation.
The DataLab runs on FHG code. That is real leverage — use it.
AMA owns the data. FHG owns the code. The AMA DataLab is the operational hub for the entire Organizational Biopsy today. FHG built and runs it. Atalan cannot step into that role — they are a survey tool, not an infrastructure play.
The sabers are rattling. There will likely be RFP pressure. Brittany (Brit) Thele, Kyra, and others may try to use that to put FHG on the defensive. Do not take the bait. FHG has real leverage here and the renewal conversation should come from that position — confident, not anxious. We are not asking to stay. We are explaining what happens to the DataLab if we leave.
Strategy · What We Are Navigating
Horizon.
What Michael learned at lunch with Nancy on Saturday — unprovoked, which means it matters. Then what we have to think forward from there.
“Lots of staff departures. Lots of upheaval.”
Nancy sought this out. She is retiring and she chose to have this lunch. The organization below the GVP line has been hollowed out — the people FHG worked with, who understood the work, are gone or leaving. New physician coming in from MCW: Alicia Pilarski, DO — not from the Fogg orbit, a potential FHG asset. But almost everyone at AMA who had real context around our work is gone.
The people who would vouch for FHG at renewal are mostly gone. We are starting from a smaller base than we think.
ClinicianPulse competitor
into AMA PS2.
Atalan is working directly with AMA member health systems through PS2 as the channel. They are running the Whyte thesis before FHG is. A competitor, inside the tent.
01 The Whyte Thesis — FHG’s Natural Alignment
Business units must support member organizations and member systems.
Whyte’s restructuring from CHE/IHO to COHO is a clear signal: AMA is reorganizing around member system support, not standalone programming. FHG’s products exist to help health systems perform better. That is the same thing Whyte is building toward. Make this argument before the renewal conversation, not during it.
The risk: Atalan is making the same argument, and they are already inside PS2 with a live contract. FHG needs to be specific about what we can do that Atalan cannot.
02 The Rev-Share Question
Should FHG propose a revenue-sharing model to one or both BUs?
FHG brings the product, AMA brings distribution to member systems, revenue from health system contracts is shared — 50/50 on paper. But in practice, these models tend to stall on who gets credit, compliance questions, and governance headaches. AMA’s legal layer adds more friction than a commercial partner would.
Hold this question for now. The smarter near-term move is building the relationship and the trust that would make a rev-share conversation possible. Proposing it cold is a risk to the base revenue.
AMA Intelligence · New AMA Under Whyte
New AMA.
Whyte CEO since July 1, 2025. Dr. Wig COO since June 1, 2026. CHE eliminated. IHO + CHE merged to COHO. Career Advancement Collective created. PS2 under Tutty and Farley.
01 The Restructuring
Center for Health Equity
Maybank out. CHE folded into COHO. Named equity physician leader seat empty.
COO Seat
Giacomin gone. Seat eliminated; Dr. Wig installed June 1, 2026.
COHO — CHE + IHO Merged
Four pillars: SDOH · Medical Education · Community-Centered Solutions · Data-Driven Research. FHG’s MAP Dashboard work lives here under Seoh.
Career Advancement Collective (CAC)
Education Center + AMA Ed Hub + PS2 + Strategic Insights under Tutty as SVP. FHG’s anchor lives inside this structure. Farley runs PS2 as GVP reporting to Tutty.
AMA Center for Digital Health and AI
Whyte’s signature initiative. Lozovatsky departed May 4, 2026 to Premier Health. Open. FHG entry path.
02 Who Runs AMA Now
03 Tutty / CAC + Farley / PS2 in Depth
PS2 is now inside a larger portfolio under Tutty. That is good news and a complexity.
The good: Tutty’s elevation gives FHG a senior SVP anchor inside the CAC. He signed our MSA. He knows our work. His mandate now includes Ed Hub, Education Center, and Strategic Insights alongside PS2 — which means FHG’s research and data infrastructure could be positioned as a CAC-wide asset, not just a PS2 vendor.
The complexity: Farley now runs PS2 day-to-day as GVP reporting to Tutty. Farley is new to the role, survey-first in her instrument philosophy, and navigating Atalan/Fogg pressure within her BU. FHG needs a relationship with Farley that is not mediated entirely through Tutty — because Tutty’s portfolio is large and his attention will be distributed.
The question: does FHG position within the CAC broadly — a Tutty-level conversation about what FHG can do across the whole collective — or within PS2 specifically, a Farley-level conversation about ClinicianPulse alongside Atalan? Both. Tutty first to set the frame; Farley to execute within it.
AMA Intelligence · The Culling
Who Left.
If you worked with someone at AMA below the GVP line and you have not confirmed them recently, assume they are gone. Most of the people who knew our work have left.
| Name | Role | Status |
|---|---|---|
| C-Suite & SVP | ||
| James Madara, MD | Prior CEO (2011–2025) | Out Handoff to Whyte July 1, 2025. |
| Denise Hagerty | SVP & CFO | Out Replaced by Loebach ~March 2026. |
| Jon Giacomin | SVP & COO | Out COO seat eliminated; Wig fills it June 2026. |
| Lori Prestesater | SVP, Health Solutions | Out Replaced by Jeremy Knight. |
| GVP Layer | ||
| Aletha Maybank, MD, MPH | Chief Health Equity Officer · GVP CHE | Out Departed end 2024. CHE eliminated. |
| Sanjay Desai, MD | Chief Academic Officer · GVP ChangeMedEd | Forced Out Education Center restructured. |
| Frederick Chen, MD, MPH | Chief Health & Science Officer | Out Not replaced. |
| Margaret Lozovatsky, MD | CMIO + AI Center Lead | Out → Premier Health May 4, 2026. AI Center leadership-vacant. |
| COHO / IHO Ops — People FHG Worked With | ||
| Michael Rakotz, MD | Group VP / VP Health Outcomes | Done Anchored MAP BP / Release the Pressure. |
| Kate Kirley, MD, MS | Director, Chronic Disease & Prevention | Quit Per Michael. |
| Greg Wozniak | VP, Health Outcome Analytics | Out Lead analytics counterpart on COHO side. |
| PS2 — People FHG Worked With | ||
| Christine Sinsky, MD | VP Professional Satisfaction | Retired May 31, 2025. |
| Nancy Nankivil | Director, Practice Transformation · MSA §17 Contact | Done Had lunch with Michael unprovoked — she is out. Nothing actionable flows through her now. Re-paper §17 through Tutty. |
| Tom Easley | Chief Mission Officer + Exec Publisher, JAMA | Retiring Sept 30 Garcia + Andrews through Sept 30. |
| Staff Layer — Primary PS2 Coordinators (Likely Gone) | ||
| Caitlin Nosal | PS2 Research Sandbox + Clinician.Health coordinator | Likely Out One of FHG’s primary day-to-day PS2 contacts. Confirm status through Tutty. |
| Purva Shaw | PS2 Research Sandbox + Clinician.Health coordinator | Likely Out Primary PS2 research sandbox contact. Confirm status. If she is gone, map who has picked up this work. |
| Erica Eddy | PS2 staff | RIF'd Worked with FHG at the operational level. |
| Lauren McConnell | AMA staff | RIF'd |
Contracts · PS2 & SOW 6
PS2.
Practice Sustainability & Professional Satisfaction — now inside Tutty’s Career Advancement Collective. Farley runs it. Fogg/Atalan is in it. SOW 6 TCV: $852,000.
01 PS2 Watch List
02 The Farley Relationship — Building It Fresh
Heather Farley, MD, MHCDS, FACEP
Joy in Medicine. Organizational Biopsy. Survey-first. She is new to this GVP seat and she has inherited Atalan/Fogg as a fait accompli in her BU. That is also a problem she has: two well-being measurement vendors in her unit, possibly competing for the same site relationships.
Do not pitch against Atalan. Lead with the difference: Atalan uses surveys; FHG reads the exhaust from the actual work. They measure different things. A ClinicianPulse one-pager that makes this clear — without attacking Fogg — is the right first move. Nancy: “a lot of challenge in front of her.” FHG can be a resource to Farley, not another thing on her plate.
Delane Heldt (VP Strategic Scaling & Operations, COHO) — one-on-one Zoom with Michael, June 24. The call opened three paths and produced three committed to-dos.
Contracts · COHO & SOWs 7+8
COHO.
Center for Optimal Health Outcomes — CHE + IHO merged. Now led by a permanent Group VP: Denise Fair Razo, named July 2026. Duncan Regional and community health are the near-term anchors. SOWs 7+8: $730,000.
Denise Fair Razo, MBA, MPH, FACHE — the permanent COHO leader is named.
The interim question just got answered. The AMA has named Denise Fair Razo Group Vice President of the Center for Optimal Health Outcomes — the center that houses SOWs 7+8 and Delane’s MAP work. She now sits at the top of COHO (CHE + IHO merged), a peer to Tutty’s PS2 GVP seat. Surfaced July 13 in the team channel: Michael’s flag, Pam’s press-release link, and Denise’s own LinkedIn announcement.
Who she is — not a physician; a public-health / health-administration leader. Most recently Chief Public Health Officer for the City of Detroit, running the Detroit Health Department (~250 staff) and the city’s COVID-19 response since her 2019 appointment by Mayor Mike Duggan. Before Detroit: group practice director at Henry Ford Health (primary care, behavioral health, multi-specialty), and earlier Trinity Health. Education: BA Michigan · MPH UC Berkeley · MBA Wayne State (Ilitch) · FACHE. Board seats: Michigan Public Health Advisory Council (Whitmer appointee), Big Cities Health Coalition, Public Health Foundation.
Her own framing (LinkedIn): “lasting improvements in health don’t happen in silos — they happen when physicians, health systems, public health, policymakers, researchers, and communities come together around a shared purpose.” Systems-and-public-health language that maps cleanly onto COHO’s four pillars: access, outcomes, clinician burden, cost.
What it means for FHG. The relationship-reset risk the interim alert warned about is now live — a new leader at the top of our most active COHO front, landing right as the MSA-24377 renewal clock runs. But there is a warm way in, not a cold one. See the Phil Levy path below.
AMA press release · AMA COHO center · LinkedIn · Detroit Health Dept bio · Big Cities Health Coalition
Phil Levy, MD — the Detroit bridge to Denise.
Phillip D. Levy, MD, MPH, FACEP, FAHA, FACC — Edward S. Thomas Endowed Professor of Emergency Medicine at Wayne State; Chief Innovation Officer of Wayne Health; Director of the Center for Population Health Accountability; founder of the Wayne Health Mobile Unit Program (2020). A Detroit cardiovascular / health-equity leader who has run 110+ funded studies (NIH, CDC, AHA). He is already an FHG relationship — the People.Health / Molina Wisconsin prevention-cohort work runs through him.
Why he is the bridge. Denise Fair Razo’s entire career is Detroit public health + Wayne State (her MBA is from Wayne’s Ilitch school). Phil is embedded in exactly that world. Michael’s directive in the channel: “very friendly to Phil Levy, MD; Subbu should speak with Phil.” This is a non-cold path into the new COHO leadership — Phil can give us the real read on Denise before any AMA-side outreach.
Yesterday’s Subbu × Phil call was primarily about the Molina Wisconsin prevention-cohort proposal — but Phil himself surfaced the AMA angle. He raised Denise directly as the incoming COHO Group VP, ex-Detroit public health, and Subbu wants to connect them once she is settled. Phil knows her from the Detroit public-health world; the introduction is his to make when the timing is right.
Rest of the call, for context (Molina lane): Phil personally drove the refined cohort-targeting strategy — geography-first (greater Milwaukee working example), a 27–45 age band, and a prevention-screening buy-in feeding a risk-adjusted plan. He also raised a Michigan-reuse question (no Michigan counterpart named yet), a Blue Cross Michigan gig-economy market observation, and a Crystal Mountain golf-outing fundraiser with two Republican state representatives (with Tom Hartle) — a second, political / legislative relationship track.
The action: Subbu → Phil to get his take on Denise and time the introduction. Warm the path before FHG goes to COHO leadership directly.
Hannah Seoh — We have no relationship here
Elevated from GVP IHO + VP Performance & Operations. Running consolidated CHE + IHO on a thinned bench (Rakotz, Kirley, Wozniak all gone). SOWs 7+8 are in her lane. We do not have a relationship with her and going in cold to an interim who may not last is not a strategy. The right play is a Whyte-level approach — anchor the COHO relationship at the top, not with whoever is holding the interim title.
⚠ Update, July 2026: with Denise Fair Razo named permanent Group VP, the interim question is resolved from above. Whether Seoh remains as a deputy under Denise or rotates out is unconfirmed — do not assert. Either way, the anchor relationship is now Denise, not the interim seat.
Delane Heldt — Active thread. Engaged and ready to move.
Delane runs the operational scaling layer of COHO. Michael had a one-on-one Zoom with her June 24. She is the right person. Key intelligence from the call:
WCHQ (Wisconsin Collaborative for Healthcare Quality) — 35 health systems. Michael hosted WCHQ in Madison June 23 and Karen presented MAP as the go-forward measurement platform. Well received. Michael asked Karen to reach out to Delane directly. The model: Tier 1 (free/public base — all 35 systems get MAP access) + Tier 2 (AMA member benefit — enhanced coaching and training through affiliate partners). 4–5 of the 35 are current AMA members; the other 30 are the lure to membership. Delane already has the WCHQ member list — Michael will give her the Tier 1/2 framing so she can segment accordingly. This is a several-million-people bump to MAP’s enrolled denominator.
MAP business model in motion: Delane confirmed AMA is actively transitioning MAP’s intensive coaching, training, and support from free/public to a membership benefit model, delivered through affiliate and channel partners. The free/public base stays. The coaching layer moves up-tier. Business model still being finalized — but the direction is set. WCHQ’s Tier 1/2 framing fits cleanly.
AMA legislative affairs angle: Delane was in Washington, DC talking to AMA’s legislative affairs team about how MAP could support access from a legislative angle. Deep interest expressed. This thread needs a follow-up before momentum fades. The Healthsperien → HRSA arc fits cleanly here.
Avoiding Gilligan: Michael was explicit on the call: “I don’t want to take anything to Gilligan or any of that crew.” WCHQ routes through Delane, not through Market Strategy & Growth. Do not cross the streams.
01 What Is Going Well — Build From Here
We have something here. Figure out what.
Community Health is an active PopulationManager client through the COHO channel. The data is built. The relationship is real. What is replicable? What is the expansion path to the broader Chicago free-clinic network? Name it and own it before the next COHO conversation.
Strong thread. Protect it.
Duncan is a working proof point in the COHO lane. A community hospital in Oklahoma using FHG infrastructure through the AMA channel. That is the story. Document what is succeeding and make it the template for the Seoh expansion conversation.
Meghan Phillipp + Ethan Maddy. Where is this?
Meghan Phillipp (Third Horizon, Chicago) and Ethan Maddy are the people who can drive Community Health expansion across the Chicago free-clinic network. Michael told Meghan directly: “I want to find a path for you and Ethan to be the leaders and drivers of this.” That was May 18. Being flat-footed here is not an option.
Subbu and Pam — you have been cc’d on every Meghan email. What have you done with them? Why are you not taking action here?
02 COHO Departed Counterparts
| Name | Role | Status |
|---|---|---|
| Michael Rakotz, MD | Group VP / VP Health Outcomes | Done Anchored MAP BP. |
| Kate Kirley, MD, MS | Director, Chronic Disease & Prevention | Quit |
| Greg Wozniak | VP, Health Outcome Analytics | Out Analytics lead gone. |
Strategy · Potential Paths
Paths
Forward?
These are potential paths — not the only paths. There are real headwinds: departures, an interim COHO lead, a competitor inside PS2, and a renewal clock ticking. The assets are real too. The task is being smart about which path to walk.
This is self surgery. Amputating an arm is not the goal — but it may be the survival strategy.
Read both paths before deciding. One is protective. One is expansive. They require different moves and carry different risk profiles.
FHG walks away from Clinician.Health platform operations and moves to a pure Research Sandbox mode — serving both PS2 and COHO as a growing analytical asset under Whyte-led AMA, without owning the delivery infrastructure. There is real revenue loss here. That is the amputation. But the Research Sandbox is a growing asset in the new AMA and this move protects the core.
The Stadler-to-Pilarski path is the on-ramp. Her MCW/Kern identity is a natural bridge to research-partner positioning. If Stadler has a direct connection, that is the warm path in.
This is the growth play and the highlighted path. WCHQ is the proof of concept — not the thesis. The real question is how FHG grows through a nationwide COHO-anchored network.
Lean into Healthsperien and Patrick Kennedy and the national threads already in motion. COHO’s mission is member system support. FHG’s infrastructure — the Research Sandbox, the DataLab, Clinician.Health, and Duncan Regional as the Community Health proof point — can reach and serve health system networks at scale without COHO needing to hire the capacity.
The renewal argument lives here: FHG is not asking to stay. FHG is offering to grow the thing.
Healthsperien-led. Healthsperien-convened. AMA COHO + FQHCs.
There is a third path — not a defensive move and not a raw growth play — that runs through a relationship FHG has already built. Healthsperien is the federal-policy convener spine: Tom Koutsoumpas (Founder & President), Ray Quintero (Managing Partner), Patrick J. Kennedy, Andrew MacPherson. The model is clear: FHG is the data side; Healthsperien is the boots-on-the-ground policy and stakeholder side. They convene; FHG measures. Neither side carries the whole thing.
The entry point is Tom → Whyte. Tom Koutsoumpas and John Whyte are close personal friends. On February 2, 2026, Tom hosted the Action for Progress launch — Whyte appeared as fireside-chat partner alongside FDA Commissioner Makary. That is not a loose connection; that is an anchor. A Tom-brokered conversation with Whyte on the COHO + FQHC thesis arrives warm and with standing — not as a cold call from a vendor seeking renewal.
The audience is FQHCs. Healthsperien has already opened the lane. Subbu formalized the FHG ↔ Healthsperien partnership with Ray Quintero on May 19 — Andrew MacPherson co-anchoring. That call established the model: Healthsperien takes FHG to the Medicaid Director, health plan, and FQHC ecosystem across 30+ states. The infrastructure exists. What has not happened yet is the AMA COHO + FQHC co-development conversation under Whyte.
The co-development frame: Healthsperien convenes the COHO member systems and the FQHC ecosystem. FHG provides the measurement substrate. AMA COHO provides the national channel and the credentialing. Duncan Regional and Community Health are the proof points that something is already working. Build the brief; let Tom broker the room.
What the Delane call confirmed — June 24. Michael laid the Healthsperien × MAP thesis out directly with Delane. Her language for it: MAP is the “worthy successor to UDS” — the Uniform Data System that FQHCs currently report against under HRSA mandates. The move is from UDS (“Mickey Mouse reporting”) into the improvement arena: team-based care models, coaching, cardiovascular improvement as the clinical entry point. If the administration sees this as helpful through HRSA and related programs — “this is a good thing.” The OBBB (One Big Beautiful Bill) is the federal transition mechanism. Delane was already in DC with AMA’s legislative affairs team on exactly this framing. The alignment is real. “In this world of only helping the members, FQHCs are not going to be rolling in the dough — we have to think strategically.” Next step agreed on the call: a working Zoom next week with Delane on the national TFC (team-based care) model. Michael committed to sending times.
OCHIN is not a prospect. OCHIN is asking how to get in.
OCHIN is the Epic-hosting consortium behind approximately 240 FQHCs and 300+ community organizations. They are not a contact we are cultivating — they are a partner who flipped direction this week. After the June 17 Erica Neher meeting, the read is unambiguous: OCHIN went from the rail we have been studying to a partner asking how to get in. Erica's read on the model — existing reimbursement + prospective payment + shared savings — was that it "looks really, really attractive to everybody." They are 100% behind taking the Molina + 16th Street concept to the rest of the Molina markets and to the broader FQHC market.
The paper is done. The NDA executed June 11 — James Maldonado signed for OCHIN. The Jennifer Stoll call is unblocked. Jennifer Stoll is OCHIN's Chief External Affairs Officer — their federal-policy and White-House-facing seat. This is the call.
The federal-money opening. OCHIN CEO Abby Sears is taking a federal-appropriations ask to RFK. The read is she will not get it. That is the opening: our model — health plans put the money in — is the alternative to the ask that will not land. Jennifer Stoll is exactly the seat that would carry that argument into the federal register. Walk in with that framing.
What OCHIN brings. They already have a value-based fair engagement program with Molina National at the national level — not just Wisconsin. Their Epic tools (Compass Rose, the Cheers campaign module) can stand up proactive outreach and tracking at every FQHC they host. They will not charge FHG; for the first engagement at 16th Street they will charge no one. Their ask is a share of shared savings or a strategic seat. That is a workable term.
The OCHIN → AMA COHO arc. OCHIN is the delivery rail under the FQHC ecosystem. Healthsperien is the convener. AMA COHO is the channel. The Stoll call is the moment to name that alignment explicitly: OCHIN's 240 hosted FQHCs + COHO's member health systems + Healthsperien's federal-policy reach + FHG's measurement substrate. That is a coherent national architecture. None of the four can build it alone.
Four asks for the Stoll call: (1) OCHIN's explicit public support for the 16th Street model; (2) begin marketing the model to other Molina markets and FQHCs now — do not wait a year; (3) a focused OCHIN counterpart; (4) a clean microsite that explains the model — not the current FQHC site. The urgency frame: if OCHIN waits, they become irrelevant to the very model they are best positioned to carry.
OCHIN × Delane — virtual whiteboard session agreed, June 24. Michael laid out the OCHIN arc with Delane on the call and she is in. But this one needs its own dedicated whiteboard strategy session — virtual, soon. Not a briefing. A co-development call. Michael’s posture: “I don’t take the liberty of saying let me just cowboy this one up.” He will send Delane briefing material first so she arrives with context. The OCHIN thread involves the broader Whyte orbit and an administration connection that has to be developed carefully — not handed off cold.
What other paths are there?
The four above are coherent. They are not the only options. There are headwinds in both directions and the landscape is shifting fast. What paths have not been named yet?
AMA · Next Actions
Moves.
Top 8 moves that survive scrutiny. Several original candidates were set aside. Moves 06–08 added from the June 24 Delane Heldt call.