The ArrowISE Design Partner Cohort
ArrowISE is accepting five hospital compliance programs into a six-month design partner cohort building the compliance infrastructure the post-April 2026 OIG standard now requires.
Applications open July 15, 2026 · Cohort begins August 15, 2026Why this program exists
The OIG's April 2026 FAQ updates reframed what compliance officers must prove. Satisfying a Stark Law exception and documenting fair market value are no longer treated as a complete defense; the Anti-Kickback analysis is independent and turns on intent (see FMV Alone Won't Save You). Compliance programs scoring only FMV and Stark exception fit are demonstrably behind the regulator's stated position.
ArrowISE responded by shipping a dual-statute defensibility layer — a Defensibility Index for the Stark/FMV posture and an AKS Exposure score for the intent posture — on every arrangement. The Design Partner Cohort exists to test that infrastructure against real compliance workflows at five hospitals before general availability. This is not a beta program. It is a working partnership with commitments on both sides.
Five slots, deliberately. A small cohort keeps each partner's feedback consequential and keeps implementation support real rather than nominal. The program is designed to be selective, not large — the point is depth of engagement with a few programs, not breadth.
What partners get
- Free access to ArrowISE for the full six-month cohort — Defensibility Index, AKS Exposure, evidence packets, board reports, workflow engine, and enforcement library.
- Direct founder access. Lance is the primary contact, not a customer-success queue.
- Priority input on the roadmap, with a quarterly roadmap review.
- Implementation support: spreadsheet migration, workflow configuration, and onboarding assistance.
- Locked conversion pricing: $99 per month for 24 months — 50% off the standard $198 per month enterprise rate.
- An invitation to the founding advisory board (quarterly, non-compensated, named with your approval).
- Reference-customer status with a mutual case study.
- A mutual NDA.
What partners give
The exchange is proportional and the time commitment is deliberately bounded.
- Approximately 15 hours over six months: 60-minute touchpoints every two weeks in months 1–3, then monthly in months 4–6.
- Real-workflow usage on actual physician arrangements — not test data.
- Brief written feedback each cycle (5–10 minutes).
- Reference commitment (required, not optional): participation in a case study and testimonial at cohort end, with your approval on all published content.
- Exit commitment: convert to a paid customer at cohort end, or transition off with a full data export.
- A mutual NDA.
Who we're looking for
Must have
- US-based hospital, health system, or integrated delivery network.
- Active Medicare and/or Medicaid participation.
- A minimum of 25 active physician arrangements.
- A dedicated compliance function (CCO, GC-with-compliance, or CFO-with-compliance).
- An identified internal champion with authority to allocate time, and an executive sponsor at the CFO, GC, or CEO level.
Strong-fit signals
- Recent OIG activity or a settlement in your specialty or region.
- A growing arrangement portfolio (M&A, new PSAs, or JV formation).
- A post-audit or post-inspection state.
- Existing spreadsheet-based arrangement tracking — a natural upgrade target.
Not a fit for the first cohort
- Payer-only organizations.
- Private-pay concierge practices.
- Paper-only compliance operations.
Timeline & structure
| Applications open | July 15, 2026 |
| Acceptances (rolling) | Target cohort filled by August 15, 2026 |
| Cohort begins | August 15, 2026 |
| Cohort ends | February 15, 2027 |
| Conversion decisions | March 1, 2027 |
| Cohort size | 5 slots (soft cap 6) |
How to apply
Apply by email with the subject line "Design Partner Application - [Hospital Name]". Include your role, your hospital's approximate size, current arrangement volume (a rough estimate is fine), one sentence on why now, and your identified executive sponsor and internal champion.
Response within 5 business days. All applicants receive a decision, whether accepted or not.
Frequently asked questions
Cohort fit is about arrangement volume and a functioning compliance function, not size. A mid-size hospital with 25+ active physician arrangements and an engaged champion is a strong candidate.
No. Many strong-fit programs track arrangements in spreadsheets today. Implementation support includes migrating from spreadsheets.
No cost and no procurement, in exchange for structured feedback and a reference commitment. A pilot is procurement-shaped; a design partnership is a working relationship.
It is better to wait for a later cohort than to under-participate. The value of the program depends on real-workflow usage and consistent feedback.
No. Conversion pricing is a locked $99 per month for 24 months — a price guarantee, not a required 24-month commitment.
Only with your approval. A mutual NDA covers cohort membership; the required reference commitment is subject to your approval on all published content.