A room set for a session, tables and chairs facing a flip chart
4mul8

Private decision calibration

The higher you go, the fewer people tell you the hard truth.

Some of the most valuable challenges come from peers who see the same problem from a different position in healthcare. 4mul8 brings those perspectives together in private, deliberately composed rooms, where consequential decisions get tested before they become difficult to reverse. The relationship carries across the year.

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Inside the room

Bring the decision, and the room will test it

We compose each room around the decisions its leaders are carrying. The people across from you are selected for the experience they bring and the assumptions they may challenge. They come from payers, employers, TPAs, distribution, care delivery, pharmacy, life sciences, technology and advisory organizations.

There are no presentations, no stage and no one selling. Working discussions run over breakfast and lunch, with a whiteboard when it helps. Afternoons stay open for conversations that need more depth, and dinners bring everyone back together to end the day well.

Time away from ordinary responsibilities is part of the design. Away from the usual pressures, discussion gets more candid, and leaders often see more clearly what to continue, accelerate or stop.

Focus Consequential decisions and questions still taking shape
Format Three nights of working discussion, no presentations
Privacy Non-attributable and never recorded
What you leave with A better-tested conviction, and relationships that last beyond the room

The outside voice

Different perspectives, brought together on purpose

In Jackson Hole, Partner leaders work alongside invited outside leaders we call Integrators. Partners often know exactly whose perspective they want in the room, and they nominate leaders who can challenge their thinking. When a Partner does not nominate, m4 draws on its own relationships to find the right outside voice. In every case, m4 places Integrators according to what each room needs.

Integrators join as peers. The value comes from their willingness to contribute, challenge assumptions and engage with perspectives different from their own.

The rooms

Different compositions for different decisions

A garden gate standing open onto a private courtyard path
April

Key West

Some decisions benefit from a concentrated room. Key West brings together 12 to 16 leaders: one from each Partner organization, plus leaders m4 invites around the questions those Partners bring.

Harry Truman brought the work of the presidency to Key West eleven times and called it no vacation, only a change of scenery. Some decisions need a new view before they harden.

The aerial tram rising into cloud above the valley
October

Jackson Hole

For decisions that benefit from a wider range of executive and operating experience. Two distinct rooms of 30 to 36 leaders, each composed around its own questions. Many Partner organizations bring more than one senior leader.

The original Jackson Hole Group brought healthcare leaders, scholars and policymakers into this valley to rethink American healthcare, and its work on managed competition shaped national reform debates. That legacy brought 4mul8 here in 2018, with a purpose of its own: helping today's executives test consequential decisions.

Across the year

The thinking keeps going after the room

4mul8 is an annual partnership with the organization, reaching beyond the executive in the room. The relationships compound. As members reconnect in the rooms and across the year, familiarity becomes trust, and some of those peers become the independent voices a leader calls before a consequential decision.

Working sessions

Virtual working sessions every other month bring leaders from across the model together. Each Partner leader may bring a colleague, who adds to the discussion and carries it back into the organization.

Continuous dinners

Partnerships include places at Continuous, smaller tables composed around focused questions throughout the year.

The Room

Independent observations and decision frames from m4, on the web and by email, to consider between rooms.

Deeper partnerships open additional rooms and include dedicated conversations with m4 about the questions the organization is carrying. Those conversations inform how rooms are composed, never what they conclude.

Explore organizational partnerships

Test your read without the filter.

We have no stake in what you decide, and no IP, investment, transaction or implementation upside in the outcome. Our success does not depend on whether you choose A or B.

Is this the right room?

If you are carrying a call and want your conviction tested before you commit

4mul8 is for leaders carrying consequential decisions or questions still taking shape, who are willing to expose their assumptions and engage seriously with people who see the problem differently. The next step is a conversation with Brian about what your organization is working through and whether there is a fit on both sides.

Talk with Brian