Saint Verena Consultancy Group · Proprietary Clinical Model
Patient-Accountable Care Ecosystem
"A structural solution to a structural failure — eliminating the fragmentation, leakage, and misaligned incentives that define women's healthcare in America."
95%
Screening
Compliance
2.6×
ROI at
Pilot Stage
$50B
National
Opportunity
$143K
Leakage per
50 Patients
The Market Failure It Solves
Women's Healthcare Is Broken by Design
Midlife women ages 35–65 are the Chief Medical Officers of their families — managing the health of children, partners, and aging parents — while their own care remains reactive, uncoordinated, and siloed. The system was not designed to fail them. It was simply never designed for them at all.
The P.A.C.E. Model is the structural correction. Not a new product. Not a technology platform. A fundamental redesign of how care is organized, delivered, and financially sustained.
25%
More time spent in poor health by women compared to men — a systemic gap, not a clinical one
95%
Of women's health burden is non-reproductive — yet systems remain narrowly focused on reproductive care
45–60%
Completion rate for recommended screenings — the rest lost to referral friction and no-coordination
$38B
Net annual opportunity from closing the preventive screening gap across just 5 clinical specialties
The Architecture
What Each Letter Means
Select any element to explore the structural logic behind the model.
Clinical Focus
The 5 Pillars of the P.A.C.E. Model
Five evidence-based specialties where coordinated screening creates the highest clinical and financial return.
01
Cardiovascular
The #1 killer of women — chronically underdiagnosed and undertreated. Screening-to-intervention pathways feed high-margin Cardiac Surgery pipelines.
Highest Mortality Risk02
Breast Health
3D mammography and MRI diagnostics integrated into coordinated annual pathways. Detected early, surgical oncology pipelines are activated with precision.
Surgical Oncology Pipeline03
Bone Health
DEXA scanning identifies osteoporosis risk years before fracture. Early detection drives infusion therapy revenue and prevents catastrophic acute events.
Infusion Revenue04
Metabolic & Diabetes
HbA1c monitoring and continuous glucose management (CGM) catch metabolic drift before it becomes chronic disease — reducing the highest-cost downstream utilization.
Chronic Disease Prevention05
Colorectal
Home-kit screening with seamless escalation to diagnostic colonoscopy. Closes the screening gap that kills more women than cervical and ovarian cancer combined.
Diagnostic ColonoscopyCare Architecture
The 3-Tier Care System
Every patient moves through a structured continuum — from annual prevention to acute specialty care — with no gaps and no self-navigation required.
Tier 1
Prevention
Annual exams, all 5 pillar screenings, health coaching, and risk stratification. The foundation of the entire model — where leakage is caught before it starts.
~$1,500
Per Patient
Per Year
Tier 2
Coordination
Co-occurring condition management, behavioral health integration, and specialist coordination. The Care Coordinator ensures every referral is a scheduled, verified transaction.
Hybrid
VBC &
Fee-for-Service
Tier 3
Acute & Specialty
Surgical warm hand-offs, high-acuity intervention, and specialty procedures. Every Tier 3 event is a planned, coordinated transition — never an emergency driven by missed prevention.
~$25K
Avg Surgical
DRG
The P.A.C.E. Cell
Who Is In the Room
The Care Cell is a dedicated, integrated team that owns the full patient journey — not a committee, not a referral chain. One cell. Total accountability.
Primary Care Provider
Optimized risk adjustment and documentation — accurate RAPS coding ensures every patient's complexity is captured and reimbursed correctly.
Optimized RAPSSpecialist
Integrated into the Care Cell from the start — not a referral destination, but a collaborative partner with visibility into the patient's full clinical picture.
Warm Hand-off ProtocolCare Coordinator
The operational glue of the entire model. Manages 100+ administrative touchpoints via AI-augmentation — scheduling, follow-up, adherence, escalation.
The Glue · AI-AugmentedThe Patient
The midlife woman ages 35–65 — actively engaged in her own care pathway with no self-navigation required. Her RAF score reflects her true clinical complexity.
Accurate RAF · Ages 35–65The Business Case
The Numbers Speak for Themselves
The P.A.C.E. Model was developed with the financial discipline of a turnaround, not the optimism of a startup. Every projection is grounded in validated clinical and reimbursement data.
2.6×
Proof of Concept ROI
50-patient PoC generates $225K total revenue against $45K deployment cost — net positive from day one of pilot.
62%
Internal Rate of Return
IRR based on validated patient volume, reimbursement rates, and staffing models grounded in CMS FY2026 IPPS data.
$254M
Net Present Value
NPV across the full scaling roadmap from 50-patient PoC to 50,000-patient market leadership at a single major health system.
+15–20%
Physician RVU Capacity
Coordination automation returns clinical time to physicians — increasing billable RVU output without adding headcount.
+2.2%
Health System Margin
Coordinated prevention, reduced leakage, and high-margin surgical referrals drive measurable improvement in total operating margin.
$205M
Revenue at Full Integration
50,000 patients across a major health system network — $205.2M annual revenue at full P.A.C.E. integration. Actual revenue will vary based on system size and contract structure.
Scaling Roadmap — Proof of Concept to Market Leader
Phases shown as illustrative milestones. Actual timeline will vary based on provider size and system complexity. With AI-enabled deployment, acceleration to full integration in 3–5 phases is achievable.
Proof of Concept
50
$250K
Pilot
500
$1.1M
Hand-Off
3,500
$11M
Pivot
12,000
$58.5M
Integration
27,000
$128.5M
Market Leader
50,000
$205.2M
Ready to Deploy P.A.C.E.
at Your Health System?
Every engagement begins with a 90-day diagnostic audit — a HIPAA-compliant, de-identified review of 1,000 patient records that establishes your system's baseline leakage, screening gaps, and financial opportunity before a single structural change is made.