Our Work

What We Do

Ten Ten Ten turns a bold mission into practical action. Everything we do ladders to one clear destination—Top Ten outcomes, Ten Percent of GDP, in Ten Years. We measure what matters, mobilize public will, certify what works, partner to scale it, and keep everyone aligned with a simple North Star that makes progress visible and accountable.

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The North Star keeps everyone aimed at the same destination: a United States with Top Ten outcomes, spending no more than Ten Percent of GDP on healthcare, achieved within Ten Years. It’s simple enough to remember, specific enough to measure, and strong enough to unify policy, purchasing, and care.

The Ten Ten Ten Index translates complex data into a public scorecard that shows whether the U.S. is getting healthier for less, and where to focus next. It blends outcomes, value, and equity into a single, transparent number so leaders can see unwarranted variation, copy what works, and retire low-value care

The Ten Ten Ten Pledge builds the civic mandate for change. Individuals and organizations commit to better health outcomes and lower costs, and add their voice to a growing coalition that supports leaders who move the numbers. Every signature strengthens the case for policy, purchasing, and practice decisions.