Orion Protocol™
A four-phase healthcare financial turnaround methodology
Financial Forensics · Access Optimization · Revenue Cycle Reset · Operational Rightsizing
6 days
cash on arrival
$3.65M+
savings
3
profitable months
12 months
recovery timeline
“Fix the revenue side before making structural cost decisions.”
The Orion Protocol™ prioritizes liquidity stabilization and revenue integrity as the primary shield. Cutting costs in a broken revenue cycle only accelerates the decline. We secure the cash flow perimeter first, allowing for rightsizing decisions made from a position of strategic strength, not survival-driven desperation.
F
Financial Forensics
Days 1-30
- Liquidity Stress Test
- 13-Week Cash Projection
- Vendor Debt Tiering
- Payer Contract Audit
- Crisis Map™ Creation
OUTPUT: Crisis Map™
A
Access Optimization
Days 31-60
- Patient Leakage Audit
- Schedule Density Review
- Portal Adoption Sprint
- Call Center Triage
- Pre-Auth Automation
OUTPUT: Captive Revenue Recovery
R
Revenue Cycle Reset
Days 45-90
- Denial Root Cause
- AR Compression
- Digital Flow Payments
- 340B Pharmacy Optimization*
- Medicaid WRAP Review*
OUTPUT: Net Yield Increase
O
Operational Rightsizing
Day 90+
- Staffing Ratio Re-base
- Skill-Mix Optimization
- Lease & Real Estate
- Supply Chain Recovery
- Governance Design
OUTPUT: Sustained Earning Power
Phase F: Financial Forensics
The turnaround begins with extreme visibility. We perform a deep-layer audit of the past 24 months of general ledger data, payer contracts, and vendor obligations to identify every leak. This is the stage where we stop the hemorrhaging and establish the single source of truth for the board.
KEY OUTPUT: CRISIS MAP™
A 30-day survival roadmap identifying immediate liquidity triggers, high-probability savings, and the sequence of executive actions required to avoid insolvency.
Phase A: Access Optimization
Patient access is often the most overlooked revenue leak. In our experience, health systems lose significant margin simply due to scheduling friction and poor front-end authorization workflows. We solve the $960K hidden revenue problem by capturing the patients you are already attracting but failing to convert.
THE $960K LEAK
We deploy a tactical access reset that eliminates wait-time abandonment and optimizes primary care referrals to high-margin service lines within 45 days.
Phase R: Revenue Cycle Reset
The core of our methodology is the compression of the AR cycle. We attack denials at the point of origin, automate clean claim submissions, and leverage WRAP and 340B optimization to generate immediate cash flow. This phase is about transitioning from manual defensive billing to digital offensive revenue capture.
OFFENSIVE REVENUE
WRAP & 340B
FULL DIGITIZATION
PAYER ARBITRATION
Metric
AR Days
Denial Rate
Before
62
14%
After
41
4.5%
Phase O: Operational Rightsizing
We argue that structural cost decisions should only be made on Day 90, once the revenue side is stabilized. Operational rightsizing at Orion isn't just about cuts, it’s about aligning staffing models to actual patient volume and renegotiating vendor contracts with a position of financial strength.
SAVINGS TO DATE
$3.65M+
Stabilize first. Optimize second. Structural rightsizing occurs only after Phase R validates the revenue floor.
Staffing Alignment
Dynamic shift modeling that reduced overtime by 22% while increasing throughput.
Supply Chain Audit
Eliminated $410K in redundant vendor maintenance contracts in the first 60 days.