CCSS Reform Sprint — The Primary-Care Capitation Decision

Three-round MoH war-room sprint. Lucia Arevalo has 5 hours to design a blended-capitation EBAIS reform that is revenue-neutral year 1, saves USD 320M by year 3, and survives Trejos-Vidal at the Junta on Thursday, Aragon-Mejias at Hacienda, and Solana at the 14:00 cabinet. The participant must hold three frames simultaneously — payment-design (70/30 blend, base rate, risk-adjustment, P4P withhold), political-economy (90-day Asamblea clock, union conversion mechanics), and stakeholder navigation (36-month salary floor, IDB/WB trigger-clause). MBA Track 3H Healthcare and Public-Sector Strategy; sister sim to 1470 Helio Verde. Anchored on Bodenheimer-Berenson 2007, Lindenauer-Remus 2007 NEJM, World Bank 2025 Costa Rica review, and Kingdon three-streams.