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 views your team — and your agents — query directly.

atlas@local · duckdb
cost_of_care_by_cohort_and_geo.sql
-- Cost per beneficiary by chronic cohort × HRR
SELECT cohort, hrr, AVG(total_cost_pmpy) AS pmpy,
       COUNT(*) AS n_beneficiaries
FROM cost_of_care_by_cohort_and_geo
WHERE cohort IN ('CHF','COPD','Diabetes')
GROUP BY 1, 2
ORDER BY pmpy DESC
LIMIT 5;
5 rows · 5000+ in full result
cohorthrrpmpy_$n
CHFMiami, FL32,1408,221
CHFHouston, TX29,88011,402
COPDBirmingham, AL27,5106,118
DiabetesBronx, NY24,90214,330
CHFPhoenix, AZ23,7709,540
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.

Opportunity · Tier 1CHF · Dual-eligible
ATLAS-OPP-0184

Dual-eligible CHF cohort, Southeast HRRs — underserved by GUIDE-aligned RPM.

184k addressable beneficiaries across 11 HRRs show high CHF readmit rates and active MA Star pressure. Reimbursement aligns to GUIDE + MA HEDIS. No incumbent RPM partner in 7 of 11 markets.

Eligible cohort
184k
Avg PMPY cost
$32k
Markets open
7 / 11
Est. $ / engaged
$740
Miami · Houston · Atlanta · Birmingham · Memphis · New Orleans · Jackson
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.