Insights
Research & Audits
White papers · Diagnosis · Systemic audits
Arclight Action
Insights, advisory, and AI governance for public-sector systems.
Research & Audits
White papers · Diagnosis · Systemic audits
Governance & Co-Creation
Frameworks · Stakeholder engagement
Advisory & Assurance
Strategic guidance · AI assurance assessments · Accountability reporting
01
Strategic guidance for institutions improving program performance and responsible AI governance.
02
Program efficiency and AI governance audits - uncovering structural and incentive failures.
03
Collaborative design of governance frameworks and objective functions with stakeholders.
04
Independent assessment of public-sector AI programs, focused on governance, incentives, stakeholder participation, transparency, human review, and accountability.
FEATURED INSIGHT
Objective-Function Governance for AI-Assisted Medicare Review
High-stakes AI systems should not be procured before their objectives, incentives, stakeholders, and accountability mechanisms are defined. Design Before Deploy applies objective-function thinking to public-sector AI governance, using Medicare WISeR and private-payer denial systems to show why governance must begin before deployment.

How upstream audit determinations drive downstream cost, delay, and administrative burden across the Medicare appeals system.
How reimbursement dynamics and incentives create rapid pricing escalation in skin substitute markets.
How denial rationales shift across audit stages, undermining due process and consistent adjudication.
We work with government agencies, healthcare administrators, and program leaders.