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Advisory / Microsoft Healthcare

Microsoft Healthcare Licensing Advisory 2026

Hospital systems, payers, and providers run Microsoft EAs the size of a small country. We sit on your side of the table.

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Watch the briefingResearch briefing · 4:06

Microsoft EA: Where the Leverage Really Is, and the Mistakes That Give It Away

Leverage lives in Microsoft's calendar and targets, and in credible movement at the edges of the estate. The three mistakes that hand it back: the copy-paste renewal, everyone-gets-everything licensing, and price-only negotiation under their clock.

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500+ Enterprise Clients Industry Recognized $2B+ Under Advisory 11 Vendor Practices 100% Independent
When we help

Three moments we step in

Scenario 01
EA renewal in a hospital system
The next Microsoft Enterprise Agreement is due across a multi hospital system. Copilot, E5, and Azure commits are all on the table.
Scenario 02
HIPAA compliance review
Business Associate Agreements, Azure data residency, and the Microsoft 365 configuration are all being reviewed against HIPAA obligations.
Scenario 03
Multi entity licensing
Acquired clinics, joint ventures, and physician groups carry their own Microsoft contracts. Consolidation is on the executive agenda.
How we help

Four phase engagement procedure

Phase 01
Scope and baseline
Engagement scope, EA posture, and an independent independent baseline of the Microsoft estate across every facility and entity.
Phase 02
Deployment review
M365, Azure, Copilot, and Dynamics usage reviewed against entitlement. BAA coverage and HIPAA controls validated.
Phase 03
Negotiation
EA renewal sequenced. Copilot and Azure commit positions held. Multi entity consolidation drafted into the agreement.
Phase 04
Close and side letter
Side letter signed. HIPAA and BAA positions documented. Governance handed back to your sourcing team.
Deliverables

What you get at close

01
EA renewal position
Independent measurement of M365, Azure, and Dynamics against entitlement, with an opening number for renewal.
02
HIPAA and BAA map
Business Associate Agreement coverage, Azure data residency, and the Microsoft 365 control review.
03
Copilot position
Persona segmentation, eligibility under HIPAA, and a multi year price floor for Copilot for Microsoft 365.
04
Multi entity consolidation plan
Acquired clinics, joint ventures, and physician groups mapped onto one harmonized Microsoft agreement.
05
Side letter at close
Signed instrument preventing audit findings or compliance gaps from following into the renewal.
06
Executive briefing deck
CFO, CIO, and compliance committee summary of savings, residual risk, and recommended forward position.
Outcome

What changes after we engage

20 to 40%
EA renewal
vs opening quote
$10M+
Typical savings
at close
100%
HIPAA and BAA
positions documented
48hr
Engagement
opening time
100%
Your side
independent
Engagement model

Two ways to engage

Pick the option that matches your posture. Fixed Fee for a single EA renewal, HIPAA review, or consolidation. Vendor Shield for continuous always on defense across the calendar year.

Option A

Fixed Fee Engagement

Scope
Single EA renewal, HIPAA compliance review, or multi entity consolidation. Fixed scope from day one.
Timeline
Eight to sixteen weeks typical. Same week start once scope is signed.
Pricing
Fixed fee. Quoted on scope. No hourly billing.
Best for
Live EA renewal cycle, scheduled HIPAA review, or announced merger of clinical entities.
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Option B

Vendor Shield

Scope
Continuous Microsoft defense across the healthcare estate. Deployment monitoring, EA oversight, standing negotiation counsel.
Timeline
12 to 24 month subscription. Renews annually.
Pricing
Annual subscription. Quoted on estate size.
Best for
Hospital systems with continuous M&A activity and rolling EA cycles.
Vendor Shield detail →
“
Microsoft opened the renewal with a thirty four percent uplift on Copilot, Azure, and E5. Redress closed it with a multi year price floor and a clean HIPAA control map across every facility.
CIO, integrated health network
Top fifteen United States hospital system
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Buyer side advisory boardroom

Your next Microsoft motion is an opportunity

EA renewal in the calendar. HIPAA review on the desk. Multi entity consolidation underway. We start where you are.

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