MarginNomics
Healthcare Finance Consulting

Turning healthcare margin data into decisions your leadership team will actually act on.

MarginNomics builds the financial diagnostics, value-based care dashboards, and plain-English narratives that hospitals, ACOs, IPAs, and risk-bearing medical groups need to find margin — and defend it.

10 yrs
Healthcare Finance
4-Phase
Growth Framework
3
Live Dashboard Suites
82.8%
of MSSP ACOs Now in Downside Risk

Margin diagnostics for organizations that get paid on outcomes, not just volume.

Whether you're a health system finance team, an ACO executive managing shared-risk contracts, or an IPA tracking referral leakage, the questions are the same: where is margin leaking, and can you show it to your board in one page?

Financial & Operational Diagnostics

FP&A-grade analysis of cost of care, labor, supply, and revenue cycle performance — built from 10 years running these functions inside health systems, not just consulting on them.

Value-Based Care & ACO Performance

PMPM trend, risk-corridor position, RAF/HCC capture, and Star Rating economics — the metrics that determine whether a shared-savings contract pays or bites.

Executive Dashboards That Get Used

Interactive, board-ready dashboards with built-in narrative — not just charts, but the "why this matters financially" and "what to do about it" written next to every metric.

The MarginNomics Growth Framework

A four-phase engagement model that moves from a fast diagnostic to a fully operationalized, self-updating performance dashboard.

01 · ASSESS

Find where margin is leaking

A rapid diagnostic pass across cost, revenue cycle, labor, and (where relevant) risk-contract performance to identify the two or three levers worth pulling first.

02 · ANALYZE

Benchmark and quantify

Your numbers against CMS benchmarks, contract targets, and peer performance — so every recommendation comes with a dollar figure and a confidence level attached.

03 · ARCHITECT

Build the dashboard & the narrative

A live, interactive executive dashboard connected to your real data, with plain-English commentary written in — the same format as the sample suites in our portfolio.

04 · ACCELERATE

Operationalize and refresh

Monthly refresh, quarterly narrative updates, and a standing review cadence with Finance and clinical leadership so the dashboard stays a decision tool, not a one-time deliverable.

See Full Pricing & Engagement Tiers

Explore the dashboard portfolio

Three fully interactive, click-through dashboard suites built on sample data — the same depth and format you'd get built on your organization's real numbers.

Flagship · ACO / VBC
5 Dashboards

Value-Based Care Executive Suite

Enterprise ACO financial & quality performance, risk-sharing economics, physician network leakage, Medicare Advantage RAF/Star, and population health.

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HIM & Case Mgmt
2 Dashboards

HIM & Case Management Suite

Case Mix Index, CDI query response, coding accuracy, DNFB, denial management, and discharge-delay root cause — with auto-generated executive summaries.

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Health System Exec
9 Dashboards

Healthcare Executive Suite

Operating margin bridge, revenue cycle, labor analytics, supply chain, service line profitability, physician productivity, forecasting, and AI-style insight cards.

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S

Sean, Founder of MarginNomics

Ten years in healthcare finance — FP&A, budgeting, compliance, and revenue cycle — leading teams at Hoag, Maui Health, HMSA, and HealthTrust. MarginNomics exists because the gap between "we have the data" and "leadership can act on the data" is where most healthcare margin quietly disappears.

Outside of client work, that same translation gap is the subject of Finance Behind the Headlines, the MarginNomics media brand — breaking down the financial stories behind healthcare headlines for people who don't have a finance background.

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Not sure where to start?

A free 15-minute diagnostic call is the fastest way to find out whether there's a quick win in your numbers — no pitch deck required.

Book Your Free Diagnostic Call