FINANCIAL OPTIMIZATION SERVICES

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

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

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

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

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

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-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

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

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