SCALE Payer Strategy provides broad Scale Healthcare landscape analysis and identifies opportunities in healthcare across the country, offering integral and insightful research to make the most informed investment decisions.
We combine experience as C-Suite executives for healthcare companies with decades of experience working with and for payers and state and federal government to produce best in class research for our clients.
Our work produces analysis of competition, potential patient/client opportunity, employers, population forecast, payers, regulatory, and legislation. Clients can utilize our services when interested in expanding into certain targeted states or regions of the country while examining potential acquisitions.
SCALE Payer Strategy is headquartered in North Carolina.
Location
10 + Locations
Specialty
Pediatric
Our Client is a leading independent children’s home health care agency for complex pediatric patients. The business has long-standing relationships with payers often seen solely as a DME provider, even though services are far more extensive.
Payers can vastly differ per state despite being under the same company. Our understanding of how payers work in each state gives our clients an accurate understanding of the opportunities and challenges from payers when forming a strategy.
Employers and employer sponsored health plans can drive growth in a healthcare market and create significant opportunities. We identify partnerships with employers for our clients and project the employer’s effect on the market.
Knowing your competition, their services, and targeted patient/client population allows for greater ability to adapt to changes in the market and strategize for future.
Scale utilizes commercial payer data from over 100 million covered lives, employer sponsored plans, and published state and federal reimbursement data. We combine our analysis of the data with interviews and surveys to give our clients a very well rounded view of the market.
We combine use of data with surveys and interviews to estimate opportunities with the current patient population and likely future growth.
Government regulations and legislation can be a obstacle to account for in the future but also create opportunities in the market. Our deep experience with the government allows Scale to give an accurate view of the current environment and likely future actions.
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