assets/decision-brief.md

# Healthcare service feasibility decision

## Decision and recommendation
State the proposed service, decision maker's objective, recommendation, and conditions. Distinguish screening analysis from locally validated feasibility.

## Service and baseline
Describe existing-practice expansion or standalone operation, geography, setting, clinicians, payer scope, and available resources.

## Demand and alternatives
Reconcile eligible population, reachable annual patients, episodes, encounters, competitors/substitutes, and referral evidence. Label gaps and proxy estimates.

## Payment and operating model
Explain amount provenance, coverage/billing dependencies, clinical service pattern, capacity constraints, staffing, and incremental versus shared costs.

## Scenarios and funding
Show downside/base/upside assumptions, constrained visits, earned expected collections, first-year cash received, direct contribution, operating result, year-end receivables, and startup/working-capital needs. Show wider practice contribution separately if supported. Include a comparison with doing nothing or a smaller pilot.

## What changes the decision
List the most consequential unresolved inputs and numerical thresholds where justified. Explain capacity or negative-margin barriers to break-even.

## Pilot and next decisions
Specify baseline measures, proposed targets, evidence to collect, timing, and proceed/narrow/stop conditions. Mark owners and dates as proposed until agreed.

## Sources and assumptions
Attach the current assumption register and calculation inputs. Identify data freshness, unresolved policy/contract questions, and exactly what was tested.