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Every value-based arrangement is written on one side and lived on the other.

Long Healthcare Advisory works in the gap between the arrangements health centers sign and the operations that have to deliver them.

What the arrangement requires

What the operation can deliver

Healthcare looks different depending on where you sit. We’ve sat in more than one place.

Across its two principals, Long Healthcare Advisory brings experience in clinical care, community health, ambulatory leadership, pharmacy, payer quality, value-based performance, enterprise execution, strategy, and governance.

Shawn Long, MD, MBA, FAAFP

Family physician and healthcare leader with experience across community health, ambulatory care, value-based healthcare, medical leadership, and healthcare advisory.

Nayli Russo Long, PharmD, MBA

Pharmacist and healthcare executive with experience across clinical pharmacy, payer quality operations, enterprise strategy, organizational performance, and governance.

Different careers. Overlapping ground. One firm built to see what has to work from contract to clinic.

About Long Healthcare Advisory

What was agreed to has to work on a Tuesday afternoon.

Risk scores can understate the complexity of the panel. Care gaps close late or not at all. Queries reach clinicians after the visit. Pharmacy spend moves without enough clinical visibility. And the performance report says the organization is underperforming while clinicians are still working long after clinic hours.

These are not merely documentation problems. They are signs that the financial arrangement and the clinical operation were never fully connected.

We call that the Contract-to-Clinic Gap.

The distance between what a value-based arrangement requires and what the clinical operation can actually deliver.

Explore the Contract-to-Clinic Gap

What the arrangement requires

The risk model reflects the panel it can see

What the operation can deliver

The panel carries more than the model captures

Illustrative operating pattern

Built for organizations that have to hold the whole picture.

Community health centers and risk-bearing primary care organizations operate at the intersection of clinical complexity, Medicaid and shared-savings arrangements, quality performance, pharmacy economics, 340B, and board accountability.

Those issues cannot be solved independently of one another. Our model is built to hold them together.

How We Work With Health Centers

Clinical complexity

Medicaid & shared savings

Quality performance

Pharmacy economics

340B

Board accountability