You have a policy team. What you’re missing is political strategy.

Health systems and ACOs invest heavily in policy expertise—government relations, regulatory counsel, and compliance. What most don’t have is an analytical framework for the political environments those teams operate in.

The result is familiar: technically sound proposals that die for political reasons. Coalitions built too late. Regulatory submissions at the wrong moment. Decisions made without a clear picture of the landscape.

An Aperture advisory retainer closes that gap.

What a retainer typically includes

Each retainer is structured around your specific situation. A typical engagement includes:

•       Monthly strategic sessions applying the Five-Variable Model to current priorities

•       On-call access to Petzinger for time-sensitive political decisions

•       Policy and political landscape analysis for specific initiatives

•       Coalition and stakeholder mapping for your operating environment

•       Preparation support for board, regulatory, and legislative engagements

Built for

•       Health system executives navigating mergers, regulatory filings, or major strategic pivots

•       ACO and provider association leadership facing value-based contract negotiations or payer dynamics

•       Organizations preparing for consequential legislative or regulatory cycles

Investment

Retainers are structured monthly. Fees scale with scope and access. Most engagements begin with a 90-day initial arrangement to establish context before moving to ongoing ones.

Ready to explore a retainer?

The first step is a short conversation — no commitment, no sales process. If there’s a fit, we’ll discuss scope from there.