Services

WHAT ARE YOU TRYING TO MAKE WORK BETTER?

Bring us the problem. We'll help you understand what's underneath it, and build the strategy, financing, relationships and systems that can move it forward.

Seven ways we work

Pick the one that sounds like your Tuesday.

Healthcare, Medicaid and payers

Make healthcare work for more people, and work better as a business.

Medicaid, payer and care delivery strategy. We look at eligibility, coding, credentialing, provider networks and revenue operations, and at the trusted local providers who keep people in care. Then we find where people and dollars fall out.

What we build: A payer and provider operations diagnosis, a state-specific financial and contracting model, a partnership plan, implementation steps and measures.
What changes: More people stay in care, and the model holds up financially.

Coverage, reimbursement and cost treatment depend on state rules and payer contracts. We check both before we model either.

Data centers, infrastructure and place-based development

Build the project. Build the opportunity. Leave the place better.

Projects stall when the people nearby were never asked. We start with your goals, then learn the place: its economy, its relationships and its history. Commitments get made only when they can be kept.

What we build: Stakeholder and place intelligence, an opportunity analysis, a workforce and community benefit plan, and milestones you can report against.
What changes: Fewer surprises, real local jobs, and commitments people believe.

Family, next-generation and institutional funders

Make more possible with the capital you already have.

Who holds the door, and why? How does money actually move from your decision to the work? We look at your portfolio, your process and your relationships with the same honesty.

What we build: A portfolio, funding and relationship assessment, a redesigned approach, and a measurement plan.
What changes: The same dollars reach further, and you can see what they did.

Corporations and ventures

Find the opportunity your business model isn't seeing.

Every model carries assumptions about markets, institutions and people. Some are costing you money. We test them, read the culture that runs your operations, and look at where revenue and relationships could go next.

What we build: A decision diagnostic, a growth and operating model, quantified scenarios where the evidence supports them, and an execution plan.
What changes: Clearer decisions, and growth you can explain to your board.

Community enterprises, social enterprises and nonprofits

Get the money. Build the systems. Keep your independence.

Corporate and major gifts, institutional fundraising and grant development, backed by the finance, compliance, evidence and operations funders read for risk. You keep your story. We make it legible.

What we build: A capital plan, funder materials, pipelines, working tools and outcome systems.
What changes: You pursue capital from strength, and you can keep what you win.

Public policy, government, workforce and agencies

Make public services work the way people actually live.

Most services are designed around the agency, not the person walking in. We follow the frontline journey, the rules, the procurement and the money, then redesign around what we find.

What we build: A service blueprint, procurement and rules review, funding and operational restructuring, and an evaluation plan.
What changes: Services people can actually use, and spending you can defend.

Program evaluation and outcome design

Measure the change that matters, not just the activity that photographs well.

Counting attendance is easy. We design for intermediate and reciprocal outcomes, the changes that make the big ones possible, and connect them to their financial implications.

What we build: A theory of change, a logic model, metrics, an assessment plan and a learning system.
What changes: You can show what changed, and what it was worth.

How we think

Four ideas behind every engagement.

The Underneath™

Start in a different place and you get a different answer. We ask what had to be true underneath a result for it to happen.

Go underneath →

Capital Legibility™

Capital flows to what it can read. We make real value readable to capital, and ask capital to read better.

The Cost of Distance™

Decisions made far from the people they affect cost more. We name that cost so you can stop paying it.

Community Capital Architecture™

Communities were funding one another long before institutions arrived. We build on that, not over it.

What happens when you hire us

Diagnose. Design. Build. Verify.

Diagnose
We read the numbers, documents, relationships and history. You get a written diagnosis of what's underneath the problem.
Design
We build the strategy, model or plan with you. You get a decision-ready design with costs, owners and tradeoffs.
Build
We make the tools, materials, partnerships and systems the design calls for. You get working pieces, not a slide deck.
Verify
We set the measures and check them. You get evidence of what changed, and an honest note on what didn't.

Tell us what you're trying to make work.

One conversation. You'll leave knowing whether we fit, and what we'd look at first.

Contact DSG Who we are