FORGE
System Architecture Proof Operator Open FORGE →
A free framework by Joe Nalley

An operating system
for healthcare
product teams.

FORGE turns the way a product gets built, killed, and shipped into a system you can configure — not a culture you have to hope for.

Six phases. Two council gates. Fifteen mechanisms. One framework.

24Working templates
7Product archetypes
15People mechanisms
$0To use, forever
forge-plm.com/app
Maternity Care Program DE NOVO · MODERATE · STANDARD
Phase 4 · Prove
Signal1–2w
Thesis4–6w
Build8–12w
Prove8–12w
Launch4–6w
Sustain
Unit economics
$41 PMPM val.
Gate readiness
7 / 9 deliverables
Kill criterion · Gate 2

If pilot CAC exceeds $310 by Wk 22, the product does not advance to Launch. Decision-maker: VP Product. Measured against actual pilot data, not the thesis.

Gate 2 · 55 min review
On clock — Wk 21 / 29
Built from the failure modes of
Health plans
Health systems
Health technology
50+ operator interviews
The System

A framework you configure,
not a binder you ignore.

FORGE ships as an elegant, interlocking system: editable templates for every deliverable, structural mechanisms that replace politics with rules, and archetypes that reshape the whole lifecycle to fit what you are actually building.

01
Named Authority
One person decides. 5-day clock. If it expires, the default is yes.
02
Time-Boxed Disagreement
10 business days to formalize an objection with evidence. Silence is consent.
03
Three-Level Escalation
Decision-maker, objector, executive. Three people, hard deadlines.
04
Visibility Without Consensus
Every function sees the decision. Nobody gets a veto. Notification is not approval.
05
Furnace Extraction
When the problem is political, move it to the Furnace. Let evidence decide.
06
Resource Contention
The earlier gate deadline wins. The CPO resolves the rest in 48 hours.
07
Blind Gate
Anonymous pre-commitment ballot. No anchoring by rank.
08
Kill Criteria Red Team
An external reviewer challenges falsifiability before Gate 1.
09
Grief Protocol
Structured debrief and priority reassignment after correct kills.
10
Transition Quarantine
30-day frozen scope for Furnace graduates entering the Pipeline.
11
Zombie Detection
Annual review of every Sustain product. Would we build this today?
12
Cover Clause
Named decision-makers are protected from outcome-based punishment.
13
Watch Flag
Intuitive objections tracked without blocking progress.
14
Scope Fingerprint
Annual compare of what the product does vs. what Gate 2 approved.
15
Pendulum Self-Diagnostic
Annual assessment of whether FORGE itself has calcified.
Decision Escalation Protection Audit Tap a mechanism to expand
DN

De Novo

Net-new product. Full six-phase lifecycle, all deliverables, two council gates.

26–40 wks
PA

Partnership

Co-developed with an external partner. Prove absorbs into Build. Shared kill criteria.

configured
PL

Platform

Infrastructure others build on. Extended Build; Launch folds into Sustain.

30–48 wks
RG

Regulatory

Compliance-driven. The external clock dominates. Signal compresses to a week or less.

external clock
SU

Sustain

Existing-product optimization. Three phases only. No council.

5–7 wks
EX

Exploration

Furnace-native. No Pipeline entry unless extraction criteria are met.

8–12 wks

+ Acquisition — enters at Build. The acquisition itself was Gate 1.

TemplatePhaseWhy it exists
Signal Brief
Signal
Forces the first honest answer: is this a real signal or internal noise?
Thesis Document
Thesis
The structural case for why this product should exist. Written before anyone writes code.
Kill Criterion Writer
All phases
Catches vague kill criteria that cannot be disproven by available data.
Unit Economics Model
Thesis / Build
Structural economics, not projections. Names the number where the model breaks.
Gate 1 Package
Gate 1
The package a council needs to approve a concept in a single 45-minute review.
Pilot Results Report
Prove
What we projected. What happened. Whether the delta is fatal or addressable.
Extraction Brief
Furnace → Pipeline
The gate between exploration and commitment. Requires evidence, not enthusiasm.
Plus 17 more — Go-to-Market Plan, Checkpoint Memo, Post-Kill Documentation, Portfolio Queue Manager, and the rest. 24 templates total inside the app.
The Architecture

Two lanes. One framework.

Pipeline ships products through six phases with two council gates. The Furnace explores ideas that don't have a business case yet, through fixed-clock modes. Both run at once. Separate governance keeps one from contaminating the other.

PIPELINE Signal 1–2 wks G1 Thesis 4–6 wks Build 8–12 wks G2 Prove 8–12 wks Launch 4–6 wks Sustain Continuous THE FURNACE Exploration 6–8 wks Incubation 8–12 wks Extraction 4–6 wks Adjacency 6–8 wks Horizon Scan Quarterly Recovery 90 days graduates to Thesis
Pipeline

The cool lane. Disciplined commitment. Every product moves on a clock, through gates, against kill criteria that were written before anyone fell in love with it.

The Furnace

The hot lane. The second lung. Where ideas without a business case get explored on a fixed clock — and only graduate to Pipeline when evidence, not enthusiasm, says so.

6
Pipeline Phases
2
Council Gates
15
Mechanisms
7
Archetypes
6
Furnace Modes
One product, two outcomes

The maternity case study.

Same product. Same market. Two paths. The FORGE path is drawn from a real maternity pilot run inside an integrated delivery system — the buyer, the gates, and the pilot results are what actually happened.

Without FORGE14 months
  • Mo 1Scope defined. Maternity product identified.
  • Mo 2VP expands scope to postpartum depression. No documentation.
  • Mo 3–5Cycling between product, clinical, and BU over what "maternity" means.
  • Mo 6Pricing rebuilt a third time. Expanded scope changed the economics.
  • Mo 8Compliance flags TCPA risk on member outreach.
  • Mo 14Never launched. Zero members served.
With FORGE29 weeks
  • Wk 1Signal logged. Scope frozen at Gate 1 with named owner.
  • Wk 6Thesis + unit economics. Gate 1: concept approved in 45 minutes.
  • Wk 18Build complete against frozen scope. Pilot configured.
  • Wk 27Gate 2: pilot data reviewed. 55 minutes. Decision: proceed to Launch.
  • Wk 29Launched. Two council meetings total. Zero committee cycles between them.
The product was never bad. The organization was never incompetent. The structure made speed nearly impossible and nobody had permission to say so. That is the failure FORGE is built to stop.
The Prove-phase figures come from an actual maternity pilot: roughly 400 enrolled members over a ten-week window, measuring NICU admissions and provider adoption against the prior year. The host system is de-identified at its request. Names, dates, and identifying details were removed; the numbers were not.
FORGE vs. Stage-Gate

Where the default breaks.

Stage-Gate is the framework most organizations already run some version of. Here is exactly where the two diverge.

Dimension
Stage-Gate
FORGE
Council gates
A gate at every phase transition — typically five.
Two council gates. Concept and launch. That's it.
Time discipline
Phases end when deliverables are "ready."
Every phase is time-boxed. The clock forces the decision.
Kill mechanism
Gates can kill, but rarely do in practice.
Kill criteria written before the phase starts. Binding.
Decision authority
Committee-based governance.
One named person decides. Not a title — a person.
Exploration
A pre-development "Discovery" stage.
A parallel Furnace with its own governance and clock.
Configurability
One path fits all product types.
Seven archetypes with modified phases and timelines.
People problems
Left to culture and goodwill.
Fifteen explicit mechanisms. Structure, not vibes.
The Furnace · The Second Lung

Where ideas earn a business case.

Pipeline discipline kills exploration. So FORGE keeps a second lane with its own governance and its own clock — six modes for the work that isn't ready to be a product yet.

Exploration
6–8 wks
Pure hypothesis testing. No business case required. Fixed clock, defined learning objectives, kill criterion set before the experiment starts.
Incubation
8–12 wks
Signal detected but too fragile for Pipeline discipline. Tighter milestones, still walled off from Pipeline governance.
Extraction
4–6 wks
Pull a struggling Pipeline product into the Furnace. Remove the political pressure. Let evidence speak before you decide.
Adjacency
6–8 wks
Test whether an existing product can serve a new market. Uses existing data. Faster cycle, narrower hypothesis.
Horizon Scanning
Quarterly
Long-range market and regulatory monitoring. No build activity. The output is a brief, not a backlog.
Recovery
90 days
Structured retrieval from killed products. One cycle. The only question: did the kill criteria miss something real?
Inside the App

Not a PDF. A working engine.

FORGE ships with interactive tools, 24 working-document templates, a business-case engine, and financial calculators — built so you can run the framework, not just read it.

Tool 01
Blueprint Generator
Set product type, org structure, risk tolerance, and timeline. The engine builds the exact path — phases, deliverables, kill criteria, and governance.
Configure
Tool 02
Health Diagnostic
Five questions, scored automatically. Is FORGE operating as designed, or quietly calcifying into the bureaucracy it was meant to replace?
Run diagnostic
Tool 03
Kill Criteria Generator
Test whether your kill criterion is specific and measurable enough to actually be binding — before a phase ever starts.
Generate
Tool 04
Archetype Decision Tree
Answer five questions. The first yes determines the archetype — and the path reshapes around it.
Find archetype
Tool 04 · Live
Run it right here.

Answer the questions in order. The first yes determines the archetype.

01 Does the product already exist in your portfolio?
The Operator
Most frameworks protect the organization from bad products. This one protects good products from the organization.
— The FORGE Thesis

FORGE was built by Joe Nalley. He built and sold a 13-location integrated health system serving 200,000+ patients, and ClearBill, a billing-integrity platform that returned $9.2M to payers in its first six months of full deployment. Today he is Staff Vice President of Carelon Growth, Elevance Health's specialty health-services arm, where he owns six high-acuity clinical risk books across $50B+ in specialty medical spend.

The framework came from two sources: 50+ interviews with product leaders, medical directors, and operations executives who described the same failure modes — and direct operating experience inside an organization that had no version of any of this. The interviews confirmed the pattern. The operating experience bore it out firsthand.

Across 50+ interviews, no one disputed the pattern. The organizations simply had no structure for it. That gap is the evidence.

The two-lane architecture came from a specific observation: organizations swing between rigor and agility, and every swing breaks whatever the last swing built. FORGE has two lanes because the pendulum is real.

JN
Joe NalleyShow Your Work · joe.nalley@showyourwork.health

Stop hoping for culture.
Install the system.

Open FORGE, pick your constraints, and the engine builds the path — phases, deliverables, kill criteria, governance. Free, forever.

No license, no fee 24 working templates Built by an operator