MarginNomics
Services & Pricing

Engagements Sized to How Much You Already Know Is Wrong.

Every engagement runs through the same four-phase Growth Framework. What changes is scope: a fast diagnostic on one question, or a full dashboard build connected to your live data.

Assess → Analyze → Architect → Accelerate

Every tier below is a different amount of this same process — not a different methodology.

01 · ASSESS

Find where margin is leaking

Rapid diagnostic across cost, revenue cycle, labor, and risk-contract performance to identify the highest-leverage levers.

02 · ANALYZE

Benchmark and quantify

Your numbers against CMS benchmarks, contract targets, and peer performance, with a dollar figure attached to each finding.

03 · ARCHITECT

Build the dashboard & narrative

A live, interactive executive dashboard with plain-English "why it matters" and "what to do" commentary built in.

04 · ACCELERATE

Operationalize and refresh

Monthly refresh and a standing review cadence with Finance and clinical leadership so it stays a decision tool.

Start small, or go straight to a full build

For hospitals, health systems, and physician groups outside the ACO/VBC segment — see the specialized ladder below if you're managing shared-risk contracts.

Quick Start Diagnostic
Custom Quote
flat fee, ~3–5 business days
  • One focused financial or operational question, answered with real analysis
  • Built from data you already have — no new systems required
  • A short written brief with findings and next-step recommendations
Start a Quick Start
Ongoing Retainer
Custom Quote
per month
  • Monthly dashboard refresh as new data lands
  • Quarterly written narrative for board and leadership reporting
  • Standing review cadence with Finance and operational leadership
Ask About Retainers
Free Diagnostic Call
Free
15 minutes
  • Not a sales call — a working session on one real question
  • You'll leave with at least one thing to check in your own numbers
  • The right starting point if you're not sure which tier fits
Book the Free Call

ACO & Value-Based Care Pricing Ladder

For ACOs, IPAs, MSOs, and risk-bearing medical groups managing PMPM, RAF, and Star Rating economics — priced for a better-funded, higher-stakes segment, using the same Value-Based Care Executive Dashboard Suite shown in the portfolio as the working template.

Tier 0 · Diagnostic Call
Free
15 minutes
  • Walk through your PMPM, RAF, or Star Rating position against the benchmarks in the VBC suite
  • No obligation — a working conversation, not a pitch
Book the Call
Tier 1 · VBC Performance Snapshot
Founding-Client Pricing
1–2 weeks · limited availability
  • 2–3 pages of the Value-Based Care suite reskinned with your organization's own (or public CMS) data
  • Fast way to see the format working on your numbers before committing to a full build
  • Discounted founding-client rate for the first ACO/VBC engagements
Ask About Founding-Client Pricing
Tier 3 · Monthly Retainer
Custom Quote
per month · scoped after your Tier 2 build
  • Ongoing refresh as contract-year data updates
  • Quarterly narrative update for ACO board / executive committee reporting
Ask About Retainers

This ladder is priced well below what independent Power BI consultants and national ACO advisory firms typically charge for comparable work, since most of the dashboard framework already exists. Exact figures are set on the diagnostic call based on org size and scope.

Still deciding which tier fits?

Start with the free 15-minute call — it's the fastest way to find out.

Book Your Free Diagnostic Call