Update to Arclight Feasibility Planner

{
  "description": "Assess local demand, competitors, substitutes, payer context, and referral access for a proposed U.S. healthcare service using public or aggregate information. Use for market and access questions within healthcare feasibility planning.",
  "included_files": [
    {
      "relative_path": "agents/openai.yaml",
      "size_in_bytes": 220
    }
  ],
  "name": "assess-healthcare-demand",
  "skill_md_contents": "---\nname: assess-healthcare-demand\ndescription: Assess local demand, competitors, substitutes, payer context, and referral access for a proposed U.S. healthcare service using public or aggregate information. Use for market and access questions within healthcare feasibility planning.\n---\n\n# Assess demand and access\n\nRead [working rules](../../references/working-rules.md) and the relevant [source guidance](../../references/sources-and-fees.md).\n\nDefine geography by actual reach: drive-time bands/route opportunities for mobile services, travel access and referral patterns for fixed sites. Clearly label town-center estimates; do not claim isochrones or verified routes without mapping evidence. Separate near/core/outer scenarios.\n\nBuild a demand funnel with compatible denominators: relevant population → service need → clinically appropriate and payer-eligible population → geographic reach → referral access → uptake. Use only necessary non-overlapping factors. State whether each figure is a prevalence stock, annual incident flow, unique patients, or episodes. Never multiply prevalence by annual visits without an explicit care-pattern assumption.\n\nFavor aggregate actual referrals and completed visits over unsupported market share. Distinguish patient beneficiaries, referring professionals, payer, and organizational decision maker. Identify substitutes, including existing clinics, hospital services, home health, facility staff, and travel to another area. Record service, location, payer acceptance, capacity/wait evidence, and verification date; missing evidence is not absence of competition.\n\nPrepare a short interview plan without contacting anyone: ask what happened to recent referrals, which patients could not access care and why, current alternatives, observed waits, rejected payers, and approximate aggregate volume. Do not treat statements of hypothetical interest as committed referrals.\n\nProduce a demand/alternatives table, downside/base/upside reachable-patient scenarios, an encounter translation with explicit units, and the three to five assumptions most worth validating. Pass unconstrained demand to operations; do not equate demand with deliverable volume. If the user only wants a market screen, stop there rather than generating an unsupported financial forecast.\n"
}