Architecting a Strategic Pivot in AI for Chronic Care

This was a moment made for an Architect.

The company had built a strong business with a bold idea: use AI to predict chronic disease risk, then offer personalized insurance plans directly to consumers. The more accurate the model, the smarter the pricing — and the better the margins. It worked. Until the market changed.

A sudden policy shift expanded public coverage for chronic conditions, making care more accessible and affordable through government programs. The startup’s core advantage disappeared overnight. Their B2C model no longer made sense. Demand collapsed. The technology still functioned — but the system it served had moved on. They weren’t failing from lack of capability. They were drifting — fast — from strategic relevance. That’s when I stepped in.

The Architect’s Role

I was brought in to help the team navigate the collapse of their consumer market and find a durable path forward. 

The business needed a rearchitecting, and that started with a new question: What if the system that made them obsolete… became their next customer? This wasn’t a pivot. It was a reframing — a complete realignment of product, buyer, and value around a new strategic reality.

The Rearchitecting 

Repositioned the Business for Public Value
We reframed the platform as a tool for government health systems — helping public payers forecast risk, allocate resources, and manage chronic care more sustainably.

Rebuilt the Product for Institutional Use
We redesigned the product for public-sector workflows — including population dashboards, program-level planning tools, and audit-ready reporting.

Engineered for Trust and Transparency
We added interpretable model outputs, explainable risk drivers, and clear visual summaries — so policymakers could understand, trust, and defend AI-informed decisions.

Realigned the Pricing Model
We transitioned from per-user plans to outcome-based contracts — tied to cost savings and system-level performance, aligned with public budget cycles.

Shifted the Company Narrative
We moved from an insurance disruptor to a strategic partner for government health systems — and the story landed.

The Results

• Repositioned the company from a B2C insurance model to a public-sector solution
• Launched a redesigned, government-ready product in under 12 months
• Closed the first institutional contract within 2 months of relaunch
• Converted a policy threat into a new, durable revenue stream

That’s the role I play as an Architect. I don’t chase momentum. I restore alignment between strategy and execution, so that the system can move forward with clarity — not chaos. When everything is still running, but no longer working — that’s the moment to rearchitect.