From raw file to revenue-ready brief.

The flow

1. 1
   Ingest

   Pull CMS claims, quality measures, and CMMI evaluation files. Versioned and provenance-tracked.

2. 2
   Normalize

   Map raw rows into the canonical model: providers, geography, encounters, cost, quality.

3. 3
   Detect

   Run SQL opportunity views — under-utilization, cost outliers, quality gaps — across cohorts and geographies.

4. 4
   Archetype

   Match the signal to a known pattern. Example: longitudinal care collapse for CHF in dual-eligibles.

5. 5
   Map to reimbursement

   Cross-reference CMS, MA, and CMMI payment programs that already pay to fix this gap.

6. 6
   Brief

   Generate a concise opportunity brief: cohort, geography, $ at stake, reimbursement path, and product fit.

7. 7
   Hand-off

   Route to BD for territory targeting and to product for roadmap validation.

Sample output — opportunity brief

Archetype

Longitudinal care collapse — Cardiovascular / Core tier

Cohort

Dual-eligible CHF, age 65+

Geography

HRR 423 — top 5 of 12 high-cost candidates by GPCI tier

Signal

30-day readmit 18% above benchmark; CCM utilization < 8%

Reimbursement

CCM 99490/99491, RPM 99453–99458, MA Stars C15/C16

Estimated value

$42M PMPM avoidable cost — $900M+ national TAM

Product fit

RPM + care management platform with adherence module

Hand-off

BD — target ACO REACH participants in HRR 423

The brief is also your value proposition.

Every Gap line is a pain point a buyer already feels — drop it into a deck and you have a tailored opening. Every Target line is the region where that message lands hardest, so media spend and BD travel concentrate on the markets where the gap is real. The same artifact that ranks the opportunity also writes its own go-to-market.