Strategic advisory from the other side of the table
Perspectiv Health was built on the belief that sound judgment in healthcare requires more than domain expertise. It requires lived experience across the system, with direct accountability for outcomes.
Our Perspectiv comes from operating inside health plans, provider organizations, and venture-backed companies. From clinical care to enterprise leadership. From strategy formulation to execution under real financial, regulatory, and organizational pressure.
This end-to-end exposure allows Perspectiv Health to see patterns that are often invisible from within a single organization or role and to help leaders understand why well-intended strategies frequently fail in practice.
Perspectiv Health is not organized around frameworks, playbooks, or predefined solutions
Accountability-Shaped Judgment
Perspectiv Health brings judgment shaped by direct responsibility for outcomes. The perspective was formed inside roles where decisions carried clinical, financial, and organizational consequences, not from advisory distance.
This experience informs how tradeoffs are evaluated, how risk is understood, and how strategy is tested against what organizations can realistically absorb and execute.
Context-Specific Thinking
Perspectiv Health does not apply predefined frameworks or reusable playbooks. Each situation is examined within its specific incentive structures, market dynamics, and organizational constraints.
The work focuses on understanding why a strategy might succeed or fail in a given context, rather than prescribing generalized best practices.
Embedded Executive Partnership
Perspectiv Health works alongside senior leaders as a thinking partner and sounding board during moments of complexity and uncertainty.
The role is not to execute on behalf of management, but to support clearer decision-making by pressure-testing assumptions, surfacing structural tensions, and helping leaders reason through difficult choices in real time.
Perspectiv Health works with leaders across the healthcare ecosystem who are facing high-stakes decisions and need trusted expert guidance
Health Plans
Health plans operate under sustained pressure from rising medical costs, regulatory complexity, and legacy operating models that limit agility.
Perspectiv Health works with senior health plan leaders as a strategic advisor and sounding board, helping them reason through system dynamics, organizational constraints, and unavoidable tradeoffs.
The work is oriented toward clarifying what can realistically work at scale and over time.
Provider Organizations
Provider organizations face shifting reimbursement models, evolving partnerships, and growing financial strain, often without operating structures built for those conditions.
Perspectiv Health advises executive teams as they evaluate strategic options, assess incentive alignment, and navigate decisions that affect both clinical and financial performance.
The focus is on identifying where existing structures support objectives and where they create friction.
Healthcare Founders
Founders and management teams are frequently forced to make high-stakes decisions amid uncertainty about buyers, incentives, and real-world adoption.
Perspectiv Health works with founders and executives to pressure-test strategy against payer behavior, capital constraints, and organizational readiness.
The goal is to improve decision quality before scale, not after failure.
Healthcare Investors
Healthcare investing is shaped by operational and incentive-driven risks that are often difficult to see from the outside.
Perspectiv Health supports investors by providing system-level context grounded in operating experience, informing diligence, governance, and portfolio strategy.
The work is oriented toward improving judgment at critical decision points.
Explore whether this perspective is relevant
Initial conversations are used to understand context and assess fit
Schedule a callPerspectiv Health provides strategic advisory support to healthcare leaders facing complex, high-stakes decisions
Executive Advisory
Ongoing advisory partnership for senior leaders navigating ambiguity or organizational transformation.
Perspectiv Health serves as a thinking partner with unlimited access, helping leaders pressure-test strategies, evaluate opportunities, and reason through decisions as they emerge.
Decision Advisory
Time-bound advisory support focused on a specific decision or inflection point.
Perspectiv Health works with leadership to examine assumptions, surface second-order effects, and clarify implications of different paths forward.
Investor Advisory
Strategic support for healthcare-focused venture capital and private equity firms.
Perspectiv Health provides system-context assessment grounded in operating experience to inform what buyers prioritize, where adoption breaks, and how organizational constraints limit execution.
Aaron Friedkin is a physician-executive and founder with experience spanning clinical practice, management consulting, health plan leadership, and venture-backed healthcare companies.
He began his career as a practicing physician, training at Harvard Medical School and the University of Michigan before serving as an attending radiologist. Exposure to the realities of care delivery led him to focus on the structural forces shaping cost, access, and outcomes across the system.
Aaron later joined McKinsey & Company, advising senior leaders at health systems and health plans on complex strategic and operational challenges. He then moved into senior executive roles within Blue Cross Blue Shield organizations, where he built new operating units, led enterprise-wide initiatives, and developed transformational value-based care strategies.
His subsequent work in venture-backed healthcare companies included roles as Chief Business Officer, Chief Revenue Officer, and President, leading go-to-market strategy, partnerships, acquisitions, and organizational build-out from early formation through growth-stage execution.
Today, Aaron is the Founder and Principal of Perspectiv Health. He works with executives, founders, and investors confronting decisions where certainty is low and the cost of getting it wrong is high.
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Perspectiv Health works with a limited number of leaders at any given time
Initial conversations are used to understand context, assess fit, and determine whether the firm’s perspective is relevant to the challenge at hand.
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