Andrew Smithson
Andrew brings 15 years of value-based care experience spanning every side of the table — a career that started at Humana managing $2 billion P&Ls and building provider analytics platforms, and evolved through roles at the University of Chicago Medical Center, Athletico, and COPE Health Solutions.
That breadth — health plan, health system, IPA, MSO, and consulting — is unusual. Most operators have lived on one side of the payor-provider divide. Andrew has negotiated the contracts, built the financial models, run the ACO programs, and led the turnarounds. At COPE, he helped negotiate a guaranteed $120M in additional revenue over five years for a 30,000-member IPA and helped a regional health network convert a $2M annual loss into an $8M surplus.
TRYNYTY is the synthesis of those experiences: a recognition that the organizations doing the hard work of value-based care deserve tools and partners built specifically for the complexity they face — not scaled-down versions of enterprise platforms designed for someone else.
Co-Founder
Building a tailored analytics and consulting practice serving ACOs and risk-bearing providers, anchored by purpose-built technology tools including the MSSP ACO Explorer.
Director, Managed Care & Financial Analytics
Led high-value client engagements across health plans and provider organizations. Published widely-cited analysis on CMS risk adjustment model changes (HCC v24 to v28) that sparked industry discussion.
VP Finance (Interim)
Led full financial turnaround, restructured the MSO for VBC readiness, secured ACO REACH participation, and converted $2M annual loss to $8M surplus.
Director, Managed Care
Led strategy for VBC and concierge reimbursement models; supported M&A and de novo market expansion.
Value-Based Payments Manager
Managed MSSP, Medicare Advantage, bundled payment, and oncology VBC programs. Developed KPIs, predictive risk models, and payor contract strategy.
Multiple Roles — Provider Engagement, Contracting Finance, Analytics
Co-managed a $2B P&L, drove $400M in revenue growth, built risk adjustment analytics for major provider partners including Advocate Healthcare, Oak Street Health, and ChenMed.