We Build the "Last-Mile" Infrastructure for Value-Based Care.

US-LTN Strategic Advisory provides the technical architecture, legal frameworks, and clinical workflows required for health systems to survive the transition to the CMS ACCESS and MAHA ELEVATE models.

The Telemetry Gap in Rural Health

The CMS ACCESS model is not a standard RPM expansion; it is a structural pivot to downside risk. Relying on legacy EHRs, Wi-Fi-dependent Bluetooth devices, and traditional Fee-For-Service clinical labor will turn your remote care division into a massive cost center. We design the frictionless, 4G-native architecture required to actually capture the Outcome-Aligned Payments (OAPs).

A modern wooden house on a hillside overlooking a lake with mountains in the background during sunset.

Build a low-cost, revenue-generating system tailored to your population.

Our Advisory Solutions: vbc access consulting

CMS ACCESS Readiness Audit

A rapid 30-day diagnostic of your enterprise technology stack and clinical labor ratios. We identify your exposure to the FFS exclusion trap and map the exact 4G API integration required to automate your telemetry triage.

"Hub-and-Spoke" Architecture

Scaling telemetry across state lines using a centralized hospital Tax ID creates severe Corporate Practice of Medicine (CPOM) liabilities. We design the legal entity frameworks and Management Services Agreements (MSAs) required to compliantly sweep value-based revenue from localized pods to your central enterprise.

Academic-Service Integration

Modeled on the infrastructure built for Tier-1 academic medical centers. We assist GME leadership in designing ACGME-compliant Lifestyle Medicine distinction pathways, utilizing remote telemetry pods as the ultimate clinical training sandbox for residents.

Led by Active Clinical Operators

US-LTN Strategic Advisory is not a theoretical think-tank. We actively architect and operate multi-state, 4G telemetry clinical pods capturing state and federal value-based funding across the Eastern Seaboard. We bridge the gap between academic clinical rigor and aggressive, value-based logistics.

Led by Andrew F. Kohler, MD, MBA. Architect of the Lifestyle Medicine distinction pathway at Yale University School of Medicine and Founder of the US-LTN national health utility network.