Industry Verticals · Healthcare Management

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.

3 rounds Executive English, Español

Preview

About this simulation

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.

Who it is for

An advanced simulation for participants used to working with the main frameworks and trade-offs of the subject, designed for executive education and experienced professionals.

How a session runs

  1. The instructor creates a session from the Eureka dashboard and invites the participants.
  2. Participants play 3 rounds. In each one they submit their decisions and the simulation calculates the results.
  3. The simulation can be run in English, Español.
  4. The instructor follows each participant's progress and results from the dashboard, and uses the class results for the debrief.

Decisions participants make

The decisions participants make during the simulation:

  • Blend (capitation / FFS)
  • Per-capita base rate (USD, 240–320)
  • Risk-adjustment design
  • Quality-bonus structure
  • GP salary floor (months, 0–60)
  • Opt-in pilot scope (EBAIS teams)
  • Trejos-Vidal conversion play
  • Aragón-Mejías play
  • Phase-1 press strategy
  • Trejos-Vidal envelope (13:42 delivery)

What participants track

What participants follow on screen as the rounds go by:

  • War-Room Decisions
  • R1 · DIAGNOSE — Payment Design (28 min)
  • R2 · DESIGN — Stakeholder Navigation (32 min)
  • R3 · DEFEND — 14:00 Cabinet (24 min)
  • War-Room Trail

Subjects covered

Designed for courses in Healthcare Management.

Ready to use CCSS Reform Sprint — The Primary-Care Capitation Decision with your students?

Contact us and we'll set you up with a free trial session.

Contact us