Healthcare Advisors That Execute
Punches Advisory Group exists for moments when leadership needs more than advice. We work with healthcare organizations, investors, and institutions facing complex challenges in care delivery, performance, and financial outcomes. Our role is to bring clarity, direction, and follow-through when the stakes are high and the margin for error is low.
This is not a traditional consulting model. We do not deliver recommendations and step away. We partner closely with leadership teams, helping them translate strategy into execution and rebuild the systems that support sustainable performance. The work often spans operations, reimbursement, leadership alignment, and value-based care, but always centers on accountability and results.
We are selective by design. Not every organization is a fit, and not every problem requires our involvement. When we do engage, it is because the organization is ready to confront hard truths, fix what is broken, and commit to meaningful change. The goal is not short-term improvement, but durable progress that strengthens both care delivery and financial health.
Below are the leaders behind the work. Each brings deep experience, sound judgment, and a shared belief that healthcare can deliver better outcomes without sacrificing performance.
Matthew Punches, MBA
Matthew Punches
Principal
Matthew Punches does not just talk strategy. He builds it, executes it, and ties it directly to the bottom line.
A United States Air Force veteran who served for six years, Matthew brings a disciplined, mission-first mindset to every engagement. That foundation of accountability, planning, and decisive execution defines his work today with healthcare executives who expect clarity and measurable progress.
Matthew is the advisor leaders call when theory is not enough. He has led large-scale technology deployments, rebuilt revenue cycles, uncovered new revenue opportunities, and aligned executive teams around plans that move from vision to execution without losing momentum.
His approach combines operational precision, Lean Six Sigma discipline, and executive alignment. Whether strengthening value-based care performance, stabilizing a strained P&L, or guiding cross-functional teams toward aggressive performance goals, Matthew stays engaged until the outcome is delivered.
If your organization is ready to stop circling and start scaling, he is ready to lead the way.
Matthew Punches advises healthcare organizations, investors, and executive teams during periods of transition, performance pressure, and strategic change. His work centers on strengthening care delivery, improving financial outcomes, and building the operational discipline required to support value-based care at scale.
With experience across enterprise healthcare systems including United Healthcare, Optum, national MSOs, ACOs, and CVA USA, Matthew brings a practical understanding of how executive decisions translate into frontline execution. He works closely with C-suite leaders to align strategy with operational reality, ensuring initiatives are not only well designed but properly implemented.
His background spans revenue cycle optimization, large-scale technology deployments, leadership alignment, and organizational turnaround efforts. Grounded in Lean Six Sigma principles and operational rigor, Matthew focuses on building systems that perform consistently and hold under pressure. Whether guiding a leadership team through strategic realignment or restoring stability to a strained operating model, his objective remains the same: deliver better care, stronger financial performance, and results that last.
Dustin Raney
VP of Payor Strategy & Value-Based Care
Dustin Raney advises healthcare organizations on payer strategy, reimbursement models, and the practical execution of value-based care. His work focuses on helping provider groups understand their contracting landscape, make informed strategic decisions, and translate contract terms into operational reality.
Dustin specializes in payer negotiations and the design and execution of value-based care models. This includes interpreting contract structures, performance metrics, and incentive frameworks, then aligning them with real-world workflows across the organization. From hospital transitions to primary care visits, he helps ensure programs are built to perform as intended rather than exist only on paper.
A significant portion of Dustin’s work centers on Medicare Advantage, which now represents a meaningful share of provider revenue nationally. He supports organizations in building and operationalizing programs across multiple specialties, including cardiology, urology, nephrology, and oncology, while maintaining alignment with fee-for-service operations. The objective is consistent: close care gaps, improve performance, and create financial outcomes that support long-term sustainability.
