America will not reach Top Ten outcomes at Ten Percent of GDP by chance. That goal requires better ideas, rigorous review, and coordinated action. Ten Ten Ten identifies, certifies, and amplifies solutions that improve outcomes and lower costs.
Have a solution that could improve health outcomes and reduce cost? Start here. Ten Ten Ten reviews submissions across outcomes, economic value, and equity to identify ideas worth advancing.

Ten Ten Ten’s mission is a BHAG, a big hairy audacious goal. No single team, company, or institution can achieve it alone.

Our platform is designed to help produce strong ideas from across healthcare, evaluate them against a clear standard.

Nothing about change is easy, but the Ten Ten Ten platform is designed help the best ideas move toward broader adoption.

Your ideas can be submitted from anywhere across the U.S. health system.

Submissions are reviewed for their ability to improve health outcomes while reducing total cost.

The strongest solutions will advance to Ten Ten Ten Certification review.
Ten Ten Ten Certification identifies proposals that can meaningfully improve the healthcare system. Every submission is evaluated across three pillars: Health Outcomes, Economic Benefits, and Equity.
A solution must improve patient-relevant outcomes such as disease control, functional status, readmissions, or mortality. Stronger evidence earns stronger certification, with preference for rigorous study designs.
A solution must demonstrate its total net cost impact, including medical, pharmacy, and program costs. Savings claims should use transparent methods. If costs rise, the benefits from outcomes must be significant enough to justify the increase.
A solution must demonstrate equitable access and impact across the population it serves, or address a documented inequity within a defined population.
No one group can fix this alone.
We cannot fix the U.S. healthcare system without contributions from every segment of healthcare.
Ten Ten Ten’s founders have deep expertise in drug management, but drugs make up only a small part of the larger cost and outcomes challenge. To achieve top-tier outcomes while spending ten percent of GDP in ten years, we need ideas from across the system, including hospitals, health systems, employers, clinicians, innovators, administrators, product companies, service providers, and policy leaders.
The Ten Ten Ten Platform is an open system for change.
It is a place to bring forward solutions that deserve serious evaluation.
And certification is only the beginning.
If your product, procedure, service, or policy earns Ten Ten Ten Certification, that recognition can serve as a catalyst for wider impact. Ten Ten Ten will amplify certified solutions through publication, visibility, and marketplace endorsements that encourage adoption and growth.

Improving patient health and quality of care

Reducing total cost and improving efficiency.

Expanding access and advancing equitable care.
After you submit, our team will review your inquiry and determine whether it is a fit for certification review, platform evaluation, or a follow-up conversation. Not every submission will move forward, but every strong submission helps us surface better ideas for healthcare improvement.
After you submit, our team will review your inquiry and determine whether it is a fit for certification review, platform evaluation, or a follow-up conversation. Not every submission will move forward, but every strong submission helps us surface better ideas for healthcare improvement.
Share your idea, solution, or inquiry through our submission portal.
Our team reviews your submission to understand the problem you're solving and the impact you aim to achieve.
If selected, we'll reach out with next steps. This may include a request for more information or an invitation to move forward.
Even if a submission doesn't move forward, strong ideas help us learn, evolve, and drive meaningful change.
Every strong submission moves us forward. Thank you for helping build a better, more accountable healthcare system.