SCALE Case Study:

Payer & Regulatory Research – Family Care Services

Client Profile

Services Deployed

Market Research

Post-Audit Education

Overview

SCALE was engaged by an investment banking firm to complete a market assessment and regulatory analysis for the acquisition of multiple rural health clinics in the southeastern US.

Findings

Execution

SCALE’s market research team analyzed commercial payer reimbursement trends, and underlying
reimbursement policies impacting trends affecting RHCs, telehealth, and RPM. SCALE provided a
detailed summary of reimbursement analysis and trends for high volume CPT codes. The team also
completed a follow up review of new CMS guidance on care management services.

Results

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