CONSULTING

Complex systems, made to run themselves.

540 Consulting pairs deep health plan expertise with hands-on AI and automation engineering — advisory that ends in working systems, not just recommendations.

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Hull 540 · Melges 24

Practices

Three practices, one discipline.

Health plans, AI agents, and algorithmic systems look like different worlds. They're the same problem: intricate rules, high stakes, and expert work still done by hand. We know the rules — and we build the machines.

Health Plan Advisory

Strategy and operations consulting for health plans and the organizations that serve them — from product and network decisions to the operational and regulatory plumbing underneath.

Payer strategyOperationsRegulatory

Agentic AI Development

Design and build of AI agents that automate real business processes — document workflows, service operations, and decision support — deployed inside your guardrails, on modern LLM platforms.

Process automationLLM agentsWorkflow design

Algorithmic Automation

Rules engines, quantitative models, and decisioning systems that turn expert judgment into software — running every day, measurably, without a person in the loop.

Decision systemsQuantitative modelsRules engines

Why 540

It's a boat.

Hull #540 is a Melges 24 — a small, fast racing sailboat that rewards exactly one thing: reading complicated, shifting conditions quickly and committing to a decision. The mark on this page is drawn from the actual bow sticker, in the class-rule red.

It's the same job onshore. Health plans, AI systems, and markets are all complex systems in motion. The firms that win aren't the ones with the longest analysis — they're the ones that read the conditions, decide, and adjust faster than the competition.

Contact

Tell us what isn't running the way it should.

Engagements start with a conversation — a short call to understand the system you're wrestling with and whether we're the right crew for it.