M
Medigy
Continuously updated · CMS · CMMI · MA Stars

A working opportunity engine for healthcare revenue teams.

The Medigy Opportunity Atlas turns publicly available healthcare data into a queryable, reimbursement-aligned opportunity map — running in your environment, in plain SQL, ready for both humans and AI agents.

Principles

Three commitments we don't compromise on.

Local-first

Runs where your data runs.

DuckDB or SQLite inside your environment. No vendor lock-in, no data egress.

DuckDBSQLiteParquet
SQL-native

Logic you can read.

Every transformation is a SQL view your team can audit, fork, and extend.

SELECT cohort, hrr,
  AVG(pmpy_cost)
FROM cost_of_care…
AI-ready

Tables agents can use.

Schemas, names, and grain are structured so MCPs and LLMs query without preprocessing.

▸ "Find CHF cohorts where GUIDE applies in TX"
In the database

What it actually looks like.

Three of the canonical materialized tables your team — and your agents — query directly for high-fidelity market signals. The same tables size your addressable market — population × geography × reimbursable cost — without buying a TAM study.

atlas@local · sqlite3 resource-surveillance.sqlite.db
mat_condition_state_breakdown.sql
-- Economic Density by condition × State/Locality
SELECT 
  condition_name, 
  state_abbr, 
  locality_name,
  printf('%,.0f', total_allowed_amt) AS market_magnitude,
  '$' || printf('%,.2f', allowed_per_patient) AS economic_density
FROM mat_condition_state_breakdown
WHERE condition_name IN ('Heart Failure', 'COPD', 'Type 2 Diabetes')
ORDER BY allowed_per_patient DESC
LIMIT 5;
5 rows · 500+ in full result
ConditionStateLocalityMarket MagnitudeEconomic Density
Heart FailureFLMIAMI84,221,400$14,240.50
Heart FailureTXHOUSTON91,402,880$12,880.20
COPDALBIRMINGHAM46,118,510$11,510.15
Type 2 DiabetesNYBRONX54,330,902$10,902.30
Heart FailureAZPHOENIX39,540,770$9,770.40
Sizing the opportunity

TAM, computed — not purchased.

Three dimensions, one number you can defend in front of a board, an investor, or a payer.

Cohort

Addressable population.

Identify, size, and segment the patients with the diagnosis, procedure, or risk profile your offering serves — at HRR, ZIP3, or state grain.

Geography

Saturated vs. underserved.

Map where the need is concentrated and where supply is missing. The same view shows white-space markets and over-served ones to deprioritize.

Cost envelope

Financial scope, not a guess.

Allowed spend, PMPY, and reimbursable code value combine into a defensible TAM and SAM — refreshed as utilization shifts.

New companion engine

Meet the Demand Signals Engine.

The marketing-activation layer of the Opportunity Atlas. 30+ compliant, non-claims data sources — search intent, environmental triggers, foot traffic, public-health surveillance — turned into ready-to-run campaigns for hospitals, health systems, physician groups, and the agencies that serve them.

30+
compliant data sources
11
signal categories
0–90 days
ahead of claims
60–90 days
to activation
Who uses the Opportunity Atlas

Built for the question you're already asking.

BD Leader

"Where is reimbursable demand we're not pursuing?"

Services Layer →
Product

"Which segments justify a new SKU or expansion?"

SQL Transformations →
Data / Analytics

"How do we audit, extend, and trust the model?"

Local Data Lake →
Sample output

The thing that lands on your BD team's desk.

Brief · Sleep Apnea / Therapy Adherence
Archetype
Longitudinal Care Recovery
Q4 Opp. Index
#1
Magnitude
$4.2B+ national opportunity in diagnostic-to-therapy conversion.
Signal
32% "drop-off" between Sleep Diagnostic tests (HCPCS 95810) and DME Therapy fulfillment (HCPCS E0601).
Gap
DME fulfillment in top-quartile spend states sits below the 20th percentile for continuous adherence.
Reimbursement
HCPCS E0601 (CPAP) + Remote compliance monitoring (99453-99458) already in place.
Target
Durable Medical Equipment (DME) suppliers and Sleep Medicine MSOs.
BD Angle
Recover triple-weighted MA Star points (Care Coordination) by bridging the 30-day fulfillment gap.
Opportunity · Tier 1Sleep Apnea
ATLAS-OPP-0210

Sleep Apnea cohort, High-Density States — underserved by DME fulfillment.

6.2M addressable beneficiaries across 50 states show high diagnostic volume and active MA Star pressure. No incumbent fulfillment partner in 14 of 20 top markets.

Eligible cohort
6.2M
Avg. cost / patient
$680
Markets open
14 / 20
Est. opp. score
88 / 100
Regional Hotspots: Florida · California · Texas · New York · Pennsylvania
Get a brief for your product

See the Opportunity Atlas run against your roadmap.

30 minutes. We'll point it at the segment, geography, or product line you care about.