M
Medigy
Medigy Opportunity Atlas

Find revenue you're currently missing.

The Opportunity Atlas is a continuously updated map of where US care delivery is failing in ways CMS and payers already pay to fix — now paired with the new Demand Signals Engine that turns compliant, non-claims signals into ready-to-run marketing campaigns. Anticipate where utilization is rising or breaking down before competitors do, and size the addressable opportunity by cohort, geography, and reimbursement code. Built for BD, growth, marketing, and product leaders in medical device, digital health, HIT, and the agencies that serve hospitals and health systems.

See the Revenue Engine

Watch how we turn reimbursed demand into a prioritized backlog.

The problem

Your team is chasing markets, not opportunities.

Most BD teams pursue named accounts and broad TAM estimates. Meanwhile, specific, reimbursable problems sit unaddressed in public CMS data — waiting for a product like yours. The Opportunity Atlas finds them, ranks them, and ties each one to a path through existing payment.

Utilization is always shifting — services rising in one region, declining in another, new procedures concentrating in specific cohorts. Most teams notice the shift quarters after it shows up in claims. The Opportunity Atlas surfaces the change while it's still actionable — early enough to recruit, staff, bid, build, or sell into it.

Examples

Seven opportunities your sales team could be pitching this quarter.

Each one is something CMS or a payer is already paying to solve. The Opportunity Atlas shows you which markets, which buyers, and how to frame the ask.

See full product →

Use these as templates. The Opportunity Atlas produces a custom set for your product, segment, and geography.

01OPPORTUNITY

Sleep Apnea: Therapy Fulfillment Gap

HCPCS 95810HCPCS E0601MA Stars
THE SIGNAL

Markets where diagnostic sleep test volume (HCPCS 95810) is high, but therapy fulfillment (CPAP HCPCS E0601) lags by 30%+.

WHY CMS / PAYERS PAY FOR THIS

MA plans lose triple-weighted Star points on care coordination when diagnosed patients are never started on therapy.

SALES NARRATIVE

“Stop losing patients at diagnosis. We have identified the 12 counties where your DME network is missing 40% of the therapy volume you have already paid to diagnose.”

WHO BUYS

DME Suppliers · Sleep Clinic MSOs · MA Plan Operations

02OPPORTUNITY

COPD: Hospital-to-Home Shift

DRG 190-192HCPCS E1392Readmit Penalities
THE SIGNAL

States with top-quartile Inpatient spend but bottom-decile Home Oxygen utilization (HCPCS E1392).

WHY CMS / PAYERS PAY FOR THIS

CMS penalizes 30-day COPD readmissions. Home oxygen and pulmonary rehab prevent ER visits at a fraction of admission cost.

SALES NARRATIVE

“Recover your MA Star points and cut avoidable admissions — funded by home oxygen workflows you are already eligible to bill.”

WHO BUYS

Health System VPs of Value-Based Care · ACO Quality Officers

03OPPORTUNITY

Heart Failure: RPM Revenue Transition

CPT 99457CPT 99458BPCI-A
THE SIGNAL

High economic density (spend per patient) but near-zero utilization of Remote Physiological Monitoring (RPM) codes.

WHY CMS / PAYERS PAY FOR THIS

Transitions of care are high-risk. RPM creates a continuous care bridge that protects BPCI-A bundle savings.

SALES NARRATIVE

“Turn your Heart Failure discharge program into a paid workflow. Less than 2% of eligible CHF beneficiaries in high-spend counties are enrolled in a digital bridge.”

WHO BUYS

Cardiology Groups · MSOs · Post-Acute Care Leaders

04OPPORTUNITY

Type 2 Diabetes: Silent Nephropathy Screen

CPT 83036CPT 82465HEDIS
THE SIGNAL

High volume of E&M visits (99213/99214) but low utilization of critical kidney screening labs.

WHY CMS / PAYERS PAY FOR THIS

Dialysis is the single largest cost driver for MA plans. Early detection of kidney disease in diabetic cohorts saves millions in long-term claims.

SALES NARRATIVE

“Your diabetic population has a 40% screening gap in high-density regions. Close it now to save $12k per patient in avoided dialysis costs.”

WHO BUYS

MA Quality Leaders · Primary Care Network Managers

05OPPORTUNITY

Parkinson’s: Neurology Access Optimisation

Specialty ROIFall PreventionSNF Avoidance
THE SIGNAL

Geographic hotspots where Parkinson’s prevalence is high, but the primary specialty managing care is Internal Medicine rather than Neurology.

WHY CMS / PAYERS PAY FOR THIS

Specialist-led care reduces fall-related fractures and expensive Skilled Nursing Facility (SNF) stays.

SALES NARRATIVE

“Your Parkinson’s members are being managed by GPs without specialised protocols. We found where a Neurologist partnership yields the highest ROI.”

WHO BUYS

Neurological MSOs · Payer Network Strategy Leads

06OPPORTUNITY

Hypertriglyceridaemia: Metabolic Market Density

MLR ReductionSpecialty PharmaAllowed/Patient
THE SIGNAL

States where allowed spend per patient is more than 2x the national average for metabolic conditions.

WHY CMS / PAYERS PAY FOR THIS

Managing high-cost metabolic tiers reduces long-term cardiovascular event spend, a primary driver of Medical Loss Ratios (MLR).

SALES NARRATIVE

“Optimise your metabolic sales force. Here are the 10 states where spend-per-patient indicates a premium specialty clinical service opportunity.”

WHO BUYS

Specialty Pharma BD · Metabolic Centre Developers

07OPPORTUNITY

Regional Intensity: GPCI Bonus Finder

GPCI > 1.1Revenue YieldMedicare Bonus
THE SIGNAL

Markets with high beneficiary volume and a Geographic Practice Cost Index (GPCI) above 1.1.

WHY CMS / PAYERS PAY FOR THIS

Higher GPCI means Medicare pays more for the same CPT code. These are high-yield markets where every intervention generates 10-15% more gross revenue.

SALES NARRATIVE

“Do not just target by volume — target by yield. We have mapped the high-reimbursement clusters where your clinical services generate 15% more revenue.”

WHO BUYS

Healthcare Private Equity · Multi-State Provider Groups

What you get

A working revenue engine. Not another dashboard.

Opportunity briefs

Strategy memos tied to specific cohorts, geographies, and reimbursement paths.

See the flow →

Reimbursement-aligned targets

Every opportunity mapped to existing CMS, MA, or commercial payment.

See the SQL layer →

Demand-signal campaigns

Compliant non-claims signals — search, environment, foot traffic — turned into ready-to-run media plans.

See the Demand Signals Engine →

BD-ready narratives

Sales-team-ready materials grounded in public, defensible data.

Partner with us →
The hidden capacity problem

Patients wait weeks for slots that are partially empty — and partially mis-assigned.

Most health systems don't have a demand problem. They have a capacity allocation problem. The team closest to the booking decision is marketing — and that makes the front door a triage layer, not just an acquisition channel.

26 days
Average new-patient wait

AMN/Merritt Hawkins, 2022

10–20%
Of slots go unfilled

MGMA; BMC Health Svcs Res, 2023

~1 in 3
In-person visits virtually appropriate

Kaiser Permanente DOR; npj Digital Medicine, 2024

See Capacity Intelligence →
From signal to sized opportunity

Spot the shift. Size the prize. Sharpen the pitch.

TAM decks age fast. The Opportunity Atlas computes your addressable market the way a BD team actually defends one — bottom-up, by cohort, by geography, by reimbursable code — and refreshes it as utilization moves.

01 · Spot the shift

Catch utilization changes in time to act.

See where specific procedures, prescriptions, and care patterns are climbing or collapsing — at the cohort and HRR level. Move before the trend is common knowledge.

02 · Size the prize

Compute TAM, don't buy it.

Eligible population × geographic distribution × allowed spend per service line. The result is a defensible financial scope you can put in front of a board, not a vendor's slide.

03 · Sharpen the pitch

Every gap becomes a value-prop bullet.

Each underserved cohort, fulfillment break, or quality miss is a pain point your buyer already feels. The brief tells you what to say, where to say it, and which buyer to say it to.

Two engines, one Atlas

Reimbursed demand. Plus the demand that hasn't shown up in claims yet.

The Opportunity Atlas finds revenue you can already bill for. The new Demand Signals Engine finds the demand that's about to surface — in time to bid keywords, build creative, and ship campaigns.

Engine 01 · Opportunity Atlas

Reimbursement-aligned revenue map.

CMS, MA, CMMI, MIPS, and HEDIS data turned into ranked opportunity briefs for BD and product teams in medical device, digital health, and HIT.

  • — Cohort × geography × reimbursement code
  • — SQL-native, runs in your environment
  • — Sales-ready opportunity briefs
Explore the Opportunity Atlas →
Engine 02 · Demand Signals · NEW

Marketing-activation companion.

30+ compliant, non-claims data sources — search intent, AQI, foot traffic, surveillance, retail proxies, employer signals — turned into ready-to-run campaigns for hospitals, health systems, physician groups, and their agencies.

  • — 11 signal categories, 0–90 days ahead of claims
  • — Mapped to Google, Meta, programmatic, and CRM
  • — Trust earned through aggregation, not avoided through obscurity
Open the Demand Signals hub →
Sample output

What an Opportunity Atlas brief looks like.

Each brief is a working strategy memo: cohort, geography, signal in the data, reimbursement path, and the revenue at stake — ready for BD and product teams.

Get a brief for your product
Brief · Sleep Apnea / Dual-EligibleQ4

$4.2B+ national revenue potential in integrated Sleep Apnea management.

Signal
32% fulfillment drop-off between diagnostic testing (95810) and DME therapy initiation
Gap
DME adherence and RPM monitoring below 20th percentile in high-density clusters
Reimbursement
HCPCS E0601 (CPAP) + CPT 99453/99454 (RPM) + 99490 (CCM) in place
Target
Sleep Medicine MSOs and DME suppliers in high-priority Medicare HRRs
BD angle
Bridge 'Longitudinal Care Collapse'—recapture revenue lost after initial diagnosis
Data foundation

Built on public, defensible sources. Extensible with your proprietary data.

CMSCMMIMIPS / MVPMA StarsHEDISAPCDsSDOH
See all data sources →
Take the next step

See the Opportunity Atlas against your roadmap.

30 minutes. No slides. We'll show the Opportunity Atlas running against the segment you care about.