Narrative Performance Lab
Narrative Performance Index™
Not all stalled momentum is a proof problem. In high-stakes systems, decisions are shaped by narrative posture as much as performance data — how your organization signals authority, frames risk, communicates urgency, and claims ambition inside a decision environment.
You’ve already built the layers
- Mapped decision gates and constraints shaping adoption.
- Identified where translation breaks inside the value chain.
- Noted workflow strain and absorption risk.
- Clarified stakeholder power, responsibility, and accountability.
Narrative Spectrum
Perfectionist
High integrity signals. Activation can compress under scrutiny.
Engineer
Logic-first posture. Can over-index on structure vs. decision emotion.
Historian
Context builder. Can delay commitment by widening the frame.
Caretaker
Trust-centric posture. May under-claim authority in high-stakes rooms.
Architect
Maps the terrain. Converts complexity into bounded decisions.
Evangelist
Generates energy. Can trigger containment reflexes in steward systems.
Illusionist
Creates possibility. Must anchor claims to prevent credibility drift.
Unicorn
High coherence + velocity. Must manage proof timing and exposure.
Narrative Pattern Consequences
Narrative Insights: Under Pressure
Under pressure, founders default to predictable narrative behaviors — compressing urgency, over-amplifying vision, over-explaining structure, or hedging authority. Each archetype carries distinct activation triggers that surface in high-stakes rooms.
System Stakeholder Archetypes
Decision environments operate from protective logics — financial containment, operational stability, compliance defense, reputational preservation. Your narrative force interacts with these logics in patterned ways.
Funding & Adoption Patterns
Each archetype carries a distinct funding trajectory, stakeholder trust curve, and velocity profile. Some generate trust but stall activation; others trigger energy but raise containment reflexes.
Narrative Insight: Under Pressure
On high-stakes days, founders often revert to the narrative they’ve practiced the longest — not the one they’ve built most intentionally. The NPI helps stabilize your narrative posture so it holds under scrutiny.
Meeting Language (Private)
This module converts your Narrative Performance read into usable meeting language. Use the opener to set the frame. Use the close to convert clarity into next-step commitment.
A) NPI Interpretation — HealthEvolve Private
- System reality: the room is not waiting for “more proof.” It’s waiting for decision cover, containment certainty, and defensible entry.
- Primary friction: founder is solving a proof problem; the system is navigating liability + budget defense.
- Risk signal: “Waiting for more certainty” = a containment posture. In that posture, more detail can slow trust.
- What moves the system: inevitability language + bounded decision framing + operational non-disruption.
- Stress pattern to watch: Caretaker shows up as softening authority and widening empathy. Helpful for trust, but can read as optional vendor energy in payer rooms under compression.
B) Rehearsal Guide — How to Hold the Room Use live
- When they push for certainty: don’t add slides. Say, “Let’s define responsible entry.”
- When they ask “How are you different?” lead with risk stabilization and non-disruption (not features).
- When budget shows up: frame “cost of waiting” as ongoing unmanaged escalation, not hypothetical ROI.
- When ops is in the room: emphasize operational absorption: “This reduces burden; it doesn’t add it.”
- When you feel yourself speeding up: pause, shorten, return to: risk → gap → bounded entry.
4-Minute Opener (AmeriHealth)
Across Medicaid markets, we’re seeing a predictable pattern — more women are entering pregnancy with cardiometabolic and mental health risk factors. That risk doesn’t disappear after delivery. It compounds.
For health plans, that translates into avoidable utilization, extended maternal complications, and preventable downstream spend — often absorbed quietly across service lines.
Prenatal care covers roughly six hours of direct contact. Postpartum care often drops to zero structured support. The highest-risk window receives the least coordinated oversight.
HealthEvolve was built to stabilize that gap — not by replacing providers, but by extending structured support through Lauren, a tech-enabled chronic care companion designed to protect continuity, reduce escalation risk, and create measurable stabilization during the most vulnerable windows.
This isn’t about adding a maternal vendor. It’s about reducing a predictable risk pattern that is already showing up in cost and quality metrics.
90-Second Close
Right now, the risk curve for maternal health is moving in one direction — higher complexity, higher cost, higher reputational exposure.
The question isn’t whether additional support is needed. It’s whether the plan wants to stabilize that risk upstream — before it compounds into preventable utilization.
HealthEvolve gives you a structured way to do that without disrupting provider relationships or overextending operations.
The cost of waiting is continued unmanaged escalation. The opportunity is contained, measurable stabilization.
The next step is defining what responsible entry looks like.