Health systems are navigating a difficult convergence. Medicaid funding is shrinking, uncompensated care is rising, post-acute discharge bottlenecks are straining operations, and ongoing payment and accountability reforms are adding new layers of financial complexity. The systems that come out ahead will be the ones that treat this moment as a strategic inflection point.
The path forward runs through value-based care. That means moving upstream, closer to the source of payment, taking real accountability for total cost of care, and building the partnerships and health plan relationships that create revenue streams more durable than fee-for-service rate negotiations or per-claim payments. ATI brings the policy depth, data capabilities, and payment model experience to help health system leaders make that transition. We were founded on the recognition that pressures land hardest on patients with complex care needs who are hardest to serve well, and we have spent our history at the intersection of Medicare, Medicaid, and long-term care, working alongside the people navigating these systems firsthand. ATI has deep expertise in Medicare episode-based and bundled payment models, spanning both voluntary and mandatory programs across acute, post-acute, and surgical care. We help hospitals and accountable care organizations (ACOs) understand what each model means for their organization, prepare a strong response, and act with confidence. We have also helped health systems build and launch provider-led Medicare Advantage (MA) and Special Needs Plans (SNPs) from the ground up.
Brian Fuller is a Managing Director in ATI’s Provider Strategy and Care Transformation Practice. He is a nationally recognized expert on value-based care and an expert on care integration and partnership development across the healthcare continuum. He has deep expertise in private equity-backed value-based care investments, including portfolio C-suite roles within provider organizations with risk, fully at-risk disruptors, and start-ups. Prior to ATI, he was CEO of a technology-enabled care coordination company that partners with physician group practices, hospital systems, ACOs, and payers to manage episodes of care under a variety of payment arrangements.
Learn MoreWill Sellheim is a Managing Director in the Provider Strategy and Care Transformation Practice where he applies his expertise in AI and technology-enabled innovation to help clients reach their goals to improve outcomes, capture reimbursement, and increase access.
Learn MoreAllison Rizer is a nationally recognized expert in dual-eligible policy and brings over 20 years of experience in managed care and government programs. Prior to ATI, she worked at a large payer organization leading national policy efforts specific to individuals eligible for Medicare and Medicaid.
Learn MoreTina Hansen Pickett is a Managing Director in ATI's Provider Strategy and Care Transformation Practice. Tina leads ATI’s PACE service line, supporting PACE feasibility assessments, preparing state RFP responses and PACE applications, advising policymakers on PACE feasibility and policy options, and supporting PACE and PACE-adjacent growth opportunities.
She has deep expertise in federal policy as well as on-the-ground experience in healthcare delivery system transformation through her prior experience at Maimonides Medical Center and at the White House Office of Management and Budget.
Hannah Godlove is Vice President of Delivery and Operations. She has deep expertise in population health analytics, evaluation, and program planning. Prior to ATI, she worked at Signify Health where she helped providers implement episodes of care programs for Medicaid and Medicare populations.
Learn MoreAnne Tumlinson is a nationally recognized leader in financing and care delivery for complex and vulnerable populations. She shares her insights with a wide array of policy and business leaders, including the House Energy and Commerce Committee, the Senate Aging Committee, and the Congressional Long-Term Care Commission. Tumlinson serves on a variety of boards and founded Daughterhood, a non-profit national community that connects family caregivers with peer support and resources.
Learn MoreTyler Overstreet Cromer leads ATI's Provider Strategy and Care Transformation Practice. Tyler is an industry leader developing innovative financing mechanisms to support older adults with LTSS need, including conducting research related to Medicare-only pathways for entering PACE. Prior to joining ATI, she worked for more than a decade in federal health policy at the White House Office of Management and Budget.
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