The TVS Methodology

Problem → Architecture → Pilot → Measurement → Scale

Start with the assets and relationships you already have. Define a focused use case, test it in a controlled environment and build the economic case from measurable results.

For Medicaid Redetermination, this means understanding the member journey, configuring the rules and handoffs, and proving a practical workflow before expanding.

Clinician reviewing patient information on a tablet
01Diagnose the Asset Base

Before diagnosing the opportunity, we understand the existing assets, relationships, infrastructure, and constraints.

02Start With Certainty

Enter through the lowest-risk, highest-certainty layer.

03Define the Sequence

Let the relationship holder determine the sequence, not us.

04Establish the Use Case

New work must meet a defined use-case standard—not simply generate enthusiasm.

05Sandbox Before Scaling

Test new use cases in a controlled environment first.

06Engineer the Early Win

Create an early, fast, measurable result.

07Build the Economic Case

Model the opportunity as a pro forma—not a pitch deck.

08Layer Additional Opportunities

Layer in new revenue streams and opportunities as results and trust compound.

09Align Incentives

Structure compensation around contribution and the origination of the relationship.

10Protect Confidentiality

Formalize confidentiality before sensitive structural details are shared.

A disciplined approach. Measurable outcomes. Lasting impact.

Start the Conversation

Have a challenge worth solving? Let's start the conversation.

We'll listen first, then show you the math behind a solution that can transform your organization.

Skip Rodenbush, Founder of The Virtual Specialist

Ready to Solve What's Next?

Let's start a conversation.

We'll listen first, then show you the math behind a solution that can transform your organization.

“
I don't try to sell anything. I architect solutions that bring the best of breed together so organizations get it right the first time.
— Skip Rodenbush
Founder, The Virtual Specialist