A practice for health systems, payers, startups, community health, and research organizations navigating complex strategic, financial, and operational realities. Led by Nicholas Stine, MD, who has spent his career building and running population health and value-based care at scale.
Get in touchAreas of focus
Strategy and operations to improve outcomes and lower total cost across whole populations, grounded in what works in clinics and communities.
ACO and risk strategy, payment model design, and the governance and operating capability to actually perform under value-based contracts.
Connecting clinical care and public health, including substance use disorders, hepatitis C, and health-related social needs.
Helping executive leadership turn aspirational goals into programs that work, and that hold up at scale.
Background
Nicholas Stine, MD has spent his career at the intersection of clinical medicine and large-scale population health transformation, inside some of the largest health systems in the country.
At CommonSpirit Health, he was enterprise SVP for Population Health, overseeing more than 370 value-based contracts and $14 billion in managed spend with a national team of roughly 1,000. The work produced $474 million in cost reduction and grew Medicare value-based care revenue by $231 million, alongside programs for hepatitis C, substance use disorders, health-related social needs, and chronic disease across 21 states.
Before that, as founding Chief Medical Officer of the New York City Health + Hospitals ACO, he built the nation’s highest-performing safety-net ACO. Over 12 consecutive performance years it generated more than $100 million in Medicare savings with top-tier MSSP quality, across 11 hospitals and more than 70 community health centers.
Today he advises health systems, payers, and research organizations through Wreath Owen Wells Advisory. He remains a practicing primary care and addiction medicine physician, holds faculty appointments at UCSF and the Philip R. Lee Institute for Health Policy Studies, and is a Senior Scholar at the Stanford Clinical Excellence Research Center. He has published on medicine and public health in the New England Journal of Medicine, JAMA, and Health Affairs, and earned his MD from the University of Pennsylvania as a Gamble Scholar, with residency in internal medicine at Brigham and Women’s Hospital and Harvard Medical School.
Training and affiliations
Writing
Contact
For advisory work, an introduction, or an initial conversation, email is the best way to get in touch.
advisory@wreathowenwells.com