Diagnose
VBC Margin Leak Scan
- Five-business-day diagnostic
- Fixed scope
- Contract and performance review
- Ranked actions and 90-day plan
Value-based care contract analytics
Find where your value-based contracts are leaking margin—in five business days.
CHA reviews the contract and performance reports you already receive, translates them into financially prioritized opportunities, and gives your team a clear action plan—with owners, deadlines, confidence levels, and supporting evidence.
- No major implementation
- Senior-led human review
- Auditable evidence trail
- Start with redacted or aggregate data
The problem
Your organization already has the data. The challenge is connecting it to the contract.
Value-based care teams receive contracts, payer workbooks, claims reports, utilization files, quality reports, and dashboards. Very few of them answer the questions leadership actually has to act on:
- Where is margin being lost?
- Which opportunities are financially material?
- Which contract terms create risk?
- What should the organization do first?
- Who owns each action?
- What evidence supports the recommendation?
- How should progress be tracked over the next 90 days?
CHA converts disconnected contract and performance information into a financially prioritized operating plan.
Flagship engagement
CHA VBC Margin Leak Scan
A fixed-scope diagnostic that turns one contract and one performance packet into an executive-ready action plan.
Delivered within five business days after complete intake.
What you provide
- One value-based contract, amendment, or term sheet
- One recent payer or ACO performance workbook
- A provider or practice roster
- Optional aggregate or de-identified utilization information
What CHA delivers
- Contract economics and term-risk map
- Ranked margin opportunities
- Top ten financially prioritized actions
- An owner and recommended deadline for every action
- Confidence level and supporting evidence for every finding
- A 90-day operating plan
- A weekly action ledger
- Executive-ready summary
- Clear recommendations for what to validate next
Fixed-fee engagement. Scope and pricing are confirmed after the initial review.
Financial estimates depend on the information made available, stated assumptions, contract terms, and validation by your team.
Discuss a Margin Leak ScanHow it works
Four steps from contract to accountable action.
One contract, one performance packet, one prioritized plan — with an owner and a date on every line.
- 01
Focused intake
CHA begins with one contract and the latest performance information your team already receives.
- 02
Economics and evidence review
We map key contract terms to financial, utilization, quality, risk-adjustment, and provider-performance signals.
- 03
Human-reviewed opportunity ranking
Senior healthcare analytics practitioners evaluate each opportunity, quantify its likely importance, and document the supporting evidence and confidence level.
- 04
Action plan and executive review
You receive a ranked action plan, owner assignments, deadlines, and a 90-day operating cadence your team can begin using immediately.
What you receive
An action table your executives and analysts can both defend.
Every line carries the evidence behind it, a stated confidence level, an owner, and a date—so the plan survives contact with your operating meetings.
| Opportunity | Estimated financial relevance | Supporting evidence | Confidence | Recommended action | Owner | Target date | Status |
|---|---|---|---|---|---|---|---|
| Post-acute utilization variation | High | SNF days per 1,000 vs. benchmark; discharge disposition mix | Moderate | Review preferred post-acute network and length-of-stay pathway | Population health director | Day 30 | Open |
| Risk-adjustment documentation gap | High | Suspected vs. captured condition categories by practice | Moderate | Targeted documentation review for highest-variance practices | Medical director | Day 45 | Open |
| Referral leakage | Medium | Out-of-network specialty claims share by service line | Low to moderate | Validate referral patterns with practice leadership | Network operations | Day 60 | Open |
| Contract threshold exposure | Medium | Quality gate and benchmark language mapped to current performance | Moderate | Model distance to threshold and identify protective measures | CFO / finance lead | Day 30 | Open |
| Care-management prioritization | Medium | Rising-risk cohort overlap with current panel assignment | Moderate | Re-prioritize outreach list against contract-relevant cohorts | Care management director | Day 45 | Open |
Engagement path
Three ways to work with CHA.
Most organizations start with the diagnostic, then decide how much execution support they want.
Execute
Contract-to-Action Pilot
- Approximately 60 days
- Focused execution against the highest-value findings
- Action ledger and operating cadence
- Analytics, workflow, and measurement support
- Team handoff and repeatable process
Sustain
Fractional Analytics Advisor
- Ongoing senior analytics support
- Monthly executive performance review
- Ad hoc analysis and decision support
- Board, payer, and CMS reporting support
- Vendor and technology evaluation
- Quarterly performance deep dives
Why CHA
Healthcare analytics expertise connected to business action.
Healthcare-specific expertise
Claims, Medicare, ACO, risk-adjustment, utilization, quality, attribution, and provider-performance experience—not generic data science applied to healthcare.
Contract-to-action thinking
CHA connects contract economics to performance evidence, operational ownership, and next actions.
Senior-led delivery
Every engagement is led by experienced healthcare analytics and transformation practitioners.
Works with your current environment
No new enterprise platform is required. CHA starts with the contracts, reports, workbooks, and data extracts you already use.
Leadership
Senior practitioners, not a hand-off to junior analysts.
Douceur Tengu
Founder & CEO
Applied mathematics, actuarial science, healthcare analytics, and value-based-care strategy.
Douceur Tengu is a healthcare analytics and data leader with more than 12 years of experience translating claims, clinical, financial, and provider-performance data into executive decisions. His experience spans value-based care, ACO and MSSP analytics, Medicare Advantage, risk adjustment, utilization, quality, predictive modeling, and healthcare AI. He holds an M.S. in Applied Mathematics from Ohio University and a B.S. in Actuarial Science from the University of Nairobi and is an MBA candidate at the University of Illinois Urbana-Champaign.
LinkedIn profile
Kuya Machanja
Co-Founder & COO
Program and portfolio leadership, operations scaling, and change management.
Kuya Machanja is a PMP-certified program and portfolio executive with more than 10 years of experience turning complex strategies into accountable execution across regulated organizations. His background includes serving in JPMorgan Chase’s internal performance-consulting practice, where he supported firmwide strategic assessments, executive reporting, and AI and technology programs from recommendation through implementation. At CHA, he translates value-based-care findings into practical operating plans, clear ownership, delivery cadences, and measurable follow-through. His expertise in governance, change management, and cross-functional delivery helps ensure CHA’s insights become sustained operational action.
Connect with Kuya on LinkedInStandards
What credibility looks like at CHA
CHA publishes no client names, testimonials, or savings statistics that have not been validated and approved. Credibility here is a method, not a marketing number.
- Every recommendation tied to evidence
- Confidence levels stated explicitly
- Financial logic separated from assumptions
- Human review before delivery
- Action ownership included
- Executive-ready and analyst-auditable outputs
FAQ
Questions executives ask first.
Do we need a new analytics platform?
No. CHA begins with the contracts, reports, workbooks, and data extracts your organization already uses.
What information do you need?
The initial scan typically begins with one contract or term sheet, one recent performance packet, and a provider or practice roster. Aggregate or de-identified utilization information may be added when useful.
Can we start without sharing PHI?
Yes. The initial engagement is designed to begin with contract documents, reports, and aggregate, redacted, or de-identified information whenever practical.
Is this a software product?
The initial Margin Leak Scan is a senior-led analytical advisory service. CHA may support the resulting action plan through a pilot or ongoing advisory engagement.
How quickly will we receive findings?
The target is five business days after complete intake for a standard Margin Leak Scan. Any scope that requires additional data or analysis will be agreed upon before work begins.
What if we manage several value-based contracts?
We recommend beginning with one contract and performance packet, proving the workflow, and then expanding across additional contracts.
What happens after the scan?
Your organization can execute the action plan internally or engage CHA through a Contract-to-Action Pilot or Fractional Analytics Advisor relationship.
Will CHA upload or store our data through this website?
No. This marketing website does not include a document-upload feature. Secure intake arrangements are established separately after scope and data-handling requirements are reviewed.
Your next performance packet should tell you what to do next.
Bring one value-based contract and the latest performance report to a focused 30-minute conversation. We will determine whether a Margin Leak Scan is the right starting point.
No sales presentation required. No software implementation discussion. Just a focused review of the problem and whether CHA can help.