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    • About Pivot
    • Services
      • Fractional Growth Officer
      • Growth Acceleration
      • Market Validation
    • Team
    • Case Studies
    • Contact
Pivot
  • About Pivot
  • Services
    • Fractional Growth Officer
    • Growth Acceleration
    • Market Validation
  • Team
  • Case Studies
  • Contact
LOW COST. LOW FRICTION. HIGH VALUE.

Recover Hidden Dollars. Strengthen Your Bottom Line.

We help hospitals and health systems uncover financial opportunities that are frequently overlooked.     


By identifying low- or no-cost, high-ROI initiatives that deliver meaningful financial and operational value, we help hospitals strengthen financial performance, improve efficiency, and preserve patient care.

FINANCIAL OPTIMIZATION SERVICES

Revenue Cycle Optimization With Guaranteed Alignment - Ni2 Health

Operating-margin and revenue-cycle performance partner for small-to-medium and rural hospitals. Conducts at-risk RCM and non-labor expense assessments and delivers an average

3–5% net revenue lift via charge capture optimization (ChargeView) and real-time RCM analytics (ExpressView).  Engagements are performance-based, requiring no upfront

client capital or IT bandwidth. 


Cost: Performance-based; no upfront capital

Friction: Low — no IT lift; assessment-led entry 

Value: 3–5% net revenue lift on average

Funded Revenue Cycle Improvement and Recovery - Capta Health Partners

Capital-backed execution partner for stalled, high-impact revenue cycle and financial performance initiatives. Capta funds and executes the work alongside the health system, taking on the risk and earning compensation only on measurable improvement. Joint-venture-style model preserves governance, culture, and autonomy while extending E2E-level capability. 


Cost: Capital-backed; paid on measurable improvement

Friction: Low — JV-style; preserves governance and culture

Value: Unlocks stalled high-impact RCM and finance initiatives

Utility Cost Recovery and Savings Optimization - NASC

National Auditing Services & Consulting — cost-recovery and  utility-bill auditing firm specializing in identifying overbillings and reducing future spend across electric, gas, water/sewer, steam, oil, propane, telecom/wireless, and real estate property tax invoices. Operates on a contingency model —

clients pay only a share of recovered refunds and realized savings, with refunds available etroactively up to five years.


Cost: Contingency only — share of recovered refunds and savings

Friction: Very low — NASC works from existing utility/tax invoices

Value: Retro refunds up to 5 years + reduced future utility spend

Accelerated Healthcare Receivables Funding Solutions - DML Capital Group

Alternative funding partner providing fast, flexible working capital to healthcare providers by advancing funds against private and government insurance receivables. Functions as accounts-receivable factoring — DML purchases the medical claim, advances cash to the provider, and reassigns the account once the payer settles, allowing the provider to retain any patient-pay balance. Operates since 2014 with one-time, revolving, and tailored facility structures. 


Cost: Factoring discount on advanced claims; no traditional debt

Friction: Low — off-balance-sheet; works for distressed/restructuring practices

Value: Fast working capital without bank financing

Lower Supply Costs Through Strategic Purchasing - WellLink GPO

Cleveland-based national group purchasing organization (formerly CHAMPS GPO) with 28,000+ member locations and $1.5B in collective spend. Partners with Premier and OMNIA

Partners to deliver competitive pricing across med/surg, pharmacy, foodservice, IT, wireless, office, and facility  categories. Known for high-touch account management and aggregation through Capstone Health Alliance.


Cost: GPO membership; no fee to provider on most categories

Friction: Low — layers onto existing supply chain operations

Value: Premier-tier pricing across med/surg, pharmacy, and indirect spend

LinkPoint Medical - Medical Device Reprocessing and Cost Reduction

Cost-reduction specialist focused on medical device reprocessing and strategic material management for hospitals and Ambulatory Surgical Centers. Helps providers reclaim,

reprocess, and reintegrate single-use and reusable supplies to lower per-procedure cost and reduce reliance on new purchases.


Cost: Net savings per procedure; pricing tied to reprocessed device use

Friction: Low — plugs into OR and central supply workflow 

Value: Material lower per-procedure device cost in OR/ASC settings

Clinical Automation for Payer and Authorization Workflows - MedTek RX

Clinical-grade automation that streamlines payer interactions, prior authorizations, and coverage compliance at the point of care. Reduces phone calls (78% in cited deployments), cuts bad debt by an average of 48%, and frees nurses and physicians from administrative work so they can focus on

patients.


Cost: SaaS/automation pricing; ROI driven by bad-debt reduction

Friction: Low — deploys at point-of-care without EMR replacement

Value: 78% fewer payer calls; 48% avg. bad-debt reduction

Red Sky Health - AI-Powered Claims Denial Recovery Platform

AI-powered claims-denial remediation platform (“Daniel”) that uses machine learning to analyze denied claims, identify root causes, correct errors in real time, and auto-resubmit to payers. Delivered as Outcome-as-a-Service — Red Sky is paid only on revenue actually recovered, aligning incentives with the provider’s bottom line.


Cost: Outcome-as-a-Service — paid only on revenue recovered

Friction: Low — layers on top of existing 837/835 workflow

Value: Recovers cash from previously written-off denials

Strategic Pharmacy Management and Margin Optimization - Wellyfe National Pharmacy Services

Comprehensive pharmacy management and Direct Pharmacy  Care (DPC) partner for healthcare organizations. Wellyfe develops, manages, and markets entity-owned community pharmacies, and provides pharmacy consulting that optimizes operations, staffing, and clinical quality. By disintermediating traditional pharmacy benefit channels, Wellyfe helps health systems lower drug spend, capture pharmacy margin, and deliver localized, equitable pharmacy care.


Cost: Management-fee or shared-savings on pharmacy P&L

Friction: Moderate — stands up entity-owned pharmacy or restructures existing

Value: Captured pharmacy margin + lower drug spend + community access

Tariff Recovery Services

Recover Funds That May Be Owed Back to Your Organization

Many hospitals and health systems may be entitled to recover significant tariff-related costs that were passed through by suppliers—and most organizations are unaware the opportunity exists.

Recent court rulings have challenged the legality of certain IEEPA tariffs, creating potential refund opportunities for organizations that ultimately absorbed tariff-related cost increases.   


Pivot Health Advisors identifies, quantifies, and recovers tariff-related overpayments on a contingency basis—with no upfront cost and minimal burden on your team. 


While hospitals often purchased affected products through distributors, GPO contracts, and suppliers rather than importing directly, those tariff costs were frequently embedded in the prices they paid. As a result, hospitals may have incurred millions of dollars in tariff-related overpayments without realizing there may be a path to recovery.


How the Process Works 

Our team conducts a comprehensive review of:

  • Purchasing data
  • Supplier invoices
  • GPO agreements
  • Supplier contracts


Using data from February 2024 through February 2026, we identify tariff-related cost increases, quantify the potential recovery opportunity, and develop a strategy for reimbursement.

Once the opportunity is validated, we engage suppliers directly on behalf of the health system to seek voluntary repayment of overcharges. Our goal is to recover funds through a collaborative, good-faith process whenever possible.


If a supplier declines to provide reimbursement and the client chooses to proceed, we work with experienced legal counsel to pursue recovery through appropriate legal channels. All litigation costs are advanced by our team and are recovered only from settlement proceeds.


It's Easy

No Upfront Cost

Our engagement is entirely contingency-based. 


Voluntary Supplier Reimbursement

25% of recovered funds


Recovery Requiring Legal Action 40% of recovered fundsIf no funds are recovered, there is no fee.

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