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Capabilities · the full map

Everything Concinna can do.

One connected record of American healthcare — provider, payment, prescription, price, safety, ownership, and regulatory data, joined on the keys that link them. Every capability below is a question against that one graph, not a new data project — asked in plain terms and answered from the record, refreshed as the sources refresh.

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Capabilities
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Domains
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Governed rows
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Live query views

For value-based care — start here

If you take risk on a population, these five domains are your P&L: the risk you can recapture, the leakage you can close, the practices worth recruiting, and the targets worth acquiring — each answered from the public record.

Proven live today

Not roadmap. Each is backed by a standing query view in the record right now. The full catalog below runs on the same connected graph.

  • Commercial-vs-Medicare benchmarking across 402 hospitals in 33 states — inpatient DRG and outpatient OPPS, now joined to each hospital's cost-to-charge ratio and IRS financials
  • The employer→PBM→fee graph with 25 verified plan switches, 2022→2023
  • 2,102 compounding pharmacies mapped, joined to Part D network reach
  • The Part D formulary layer — 329 formularies, plan → drug → tier → prior-auth, grounded to the RxNorm spine at 100%
  • Weekly drug acquisition costs (NADAC) joined to ASP and Part D spend — what a drug costs to buy vs what it's paid
  • The exempt-org money graph — 1.97M organizations by EIN, with IRS 990 financials on 345,000 filers
  • The HCC / RAF risk-adjustment stack — ICD-10→HCC and prescribing-signal validation
  • Penny-accurate MPFS payment across 10,491 codes × 109 localities
  • NCCI / MUE denial-risk checking — the bundling rules before the claim goes out
  • Five-authority conduct screening — OIG + SAM (167,580) + OFAC (64,179) + trade CSL (25,766) + state Medicaid exclusions across 39 states, NPI-keyed in one pass
  • The FDA enforcement trajectory — 1.16M inspection, citation, compliance, and refusal events on a single firm timeline
  • The ACO REACH PUF family — thirteen MSSP performance years plus 303,686 REACH provider-roster rows
16 capability domains
01

Pharma & Life Sciences Commercial

11 capabilities

01Pharma commercial analytics & prescriber targeting

Rank prescribers by what they actually prescribe and bill — not a bought contact list.

02Medical affairs & KOL management

Surface the real opinion leaders by prescribing footprint, trial activity, and reach.

03Market access & payer-coverage strategy

See where each payer's coverage stands and which policies gate your product.

04Specialty & infusion pharmacy targeting

Find the sites administering your drug class by J-code and Part B volume.

05Prescriber-influence ROI measurement

Tie industry payments to downstream prescribing to see what the spend actually bought.

06GLP-1 & obesity-drug market tracking

Track GLP-1 uptake and switching across providers and geographies, quarter over quarter.

07Oncology & immunotherapy market intelligence

Map who administers which regimens, at what volume, by site and region.

08Telehealth & remote-monitoring market sizing

Size virtual-care and RPM billing to find the fastest-growing adopters.

09Behavioral-health & substance-use analysis

Map behavioral-health and SUD treatment by provider, setting, and volume.

10Biosimilar & generic switch-rate tracking

Watch originator-to-biosimilar switching by prescriber and period.

11New-to-market prescriber alerting

Get alerted the moment a provider starts a new drug or bills a new code.

02

Medical Device & Diagnostics

4 capabilities

12Medical device market intelligence

Size the market by procedure volume and the facilities driving it.

13Diagnostics & molecular-lab market intelligence

Map test ordering and the labs and clinicians behind it.

14Device complaint & MAUDE trend analysis

Track adverse-event trends for any device — yours or a competitor's — in MAUDE.

15Recall-exposure mapping

Trace a recalled device to every facility and provider likely exposed.

03

Drug Safety, Pharmacovigilance & RWE

7 capabilities

16PV & drug-safety signal detection

Detect emerging safety signals across FAERS and MAUDE as they form.

17Off-label-use quantification

Estimate off-label use by comparing real prescribing to approved indications.

18Patient-journey reconstruction

Reconstruct treatment pathways across procedures, prescriptions, and sites of care.

19Drug-safety scorecards

Build per-product safety scorecards from the adverse-event and recall record.

20RWE packages for payers & FDA

Assemble utilization and safety evidence in the format payers and FDA expect.

21Drug-shortage monitoring & forecasting

Spot shortage signals from supply, recall, and utilization shifts.

22Trial site & investigator selection

Pick sites and PIs by real patient volume in the target indication.

04

BizDev & Sales

9 capabilities

23Sales territory design & quota-setting

Build territories on real addressable volume, then set quotas that match.

24Account ranking by addressable spend

Rank every account by what it bills and prescribes in your category.

25Competitive-displacement targeting

Find the accounts your competitor already pays — and go take them.

26Whitespace & coverage-gap discovery

Surface high-volume accounts no one is covering yet.

27Referral-network mapping

Map who refers to whom so you work the upstream source, not just the site.

28Trigger-based sales outreach

Fire outreach the moment an account starts a new code, drug, or volume jump.

29Lead scoring & CRM enrichment

Score and enrich your CRM with billing, prescribing, and payment signals.

30Account-based marketing segmentation

Segment ABM lists by real economic behavior, not firmographics.

31Healthcare B2B lead generation

Generate net-new provider and facility leads matched to exactly what you sell.

05

New Product / Device / Drug Rollout

7 capabilities

32Launch-market prioritization by volume

Rank launch markets by where the target patients and procedures concentrate.

33Early-adopter targeting for new codes

Find the clinicians who adopt new codes first, and start there.

34Adoption-curve tracking

Watch uptake of a new product or code climb, period over period.

35Reimbursement-readiness assessment

Check coverage and fee-schedule status before you launch into a market.

36Site-of-care shift detection

Catch care moving from hospital to ASC to home as it happens.

37Launch-phase adverse-event monitoring

Monitor early safety signals from the day your product ships.

38Competitive-launch ramp tracking

Track a competitor's launch by their adoption and billing curve.

06

PE Rollup, M&A & Strategy Research

9 capabilities

39Healthcare M&A due diligence

Validate a target's volume, payer mix, and risk from the public record.

40PE roll-up target sourcing

Source fragmented practices that fit a roll-up thesis.

41Platform-vs-bolt-on screening

Screen targets as platform or bolt-on by scale and footprint.

42Practice & facility valuation comps

Build valuation comps from real volume, ownership, and cost data.

43Consolidation & ownership tracking

Track who owns what as consolidation moves through a market.

44Post-close performance monitoring

Watch an acquired asset's volume and quality after close.

45Strategic-acquirer target screening

Screen acquisition targets against a strategic's gaps.

46Market-entry & TAM/SAM sizing for healthtech

Size the addressable market for a new entrant from real utilization.

47Acquisition target shortlist — independence- and integrity-screenedLive

Rank every independent PCP-led group in a market, ownership-screened to remove system-, payer-, and academic-owned practices, then run each group’s full clinician panel against the federal + multi-state integrity stack. In four value-based states, 1,010 independent candidates — each cleared against OIG LEIE, 39-state Medicaid exclusions, and the 5-state board feed, with receipts.

07

Investment & Capital Markets

5 capabilities

48Healthcare equity & investor research

Ground equity research in real prescribing, billing, and device volume.

49Revenue trajectory as pre-earnings alt-data

Read utilization trends as alt-data ahead of the print.

50Long/short theses from utilization trends

Build theses on rising or falling real-world uptake.

51Biosimilar & patent-cliff erosion modeling

Model revenue erosion as biosimilars and generics take share.

52Pre-IPO & pipeline uptake validation

Validate a pipeline's real-world traction before the raise.

08

Payers, PBM & Actuarial

7 capabilities

53Network design & provider contracting

Design networks and target contracts on real volume and quality.

54Fraud, waste & abuse detection

Flag the billing and payment patterns that signal FWA.

55PBM & formulary analytics

Analyze prescribing against formulary to find leakage and opportunity.

56Actuarial & underwriting trend analysis

Feed real utilization trends into pricing and underwriting.

57Employer & self-insured plan benchmarking

Benchmark a plan's spend against market norms.

58Reference-based pricing & transparency

Compare commercial prices to Medicare-allowed, by code and facility.

59The forward Medicare Advantage rate call, on the recordLive

The published CY2027 county benchmark plus a pre-registered CY2028 forecast band built off it, calibrated across 12 CMS rate cycles — a bounded, falsifiable rate call that re-prices the day CMS prints the Advance Notice. Every figure carries its basis and as_of date.

09

Providers, Health Systems & Post-Acute

8 capabilities

60Hospital & health-system benchmarking

Benchmark a system against peers on volume, quality, and cost.

61Physician-practice peer benchmarking

Show a practice exactly where it sits against its peers.

62Post-acute referral & competitive intel

Map SNF, home-health, and hospice referrals and competitors by market.

63Billing & revenue-cycle benchmarking

Benchmark coding and reimbursement to find the leakage.

64Reimbursement & fee-schedule analytics

Model reimbursement across payers and fee schedules.

65Clinic & infusion-center site selection

Pick the next site on real demand and competition.

66Provider capacity & burnout forecasting

Forecast capacity strain from volume and workforce signals.

67Any-market MA underwriting input pack, in under a secondLive

Point it at any county in America and it returns the full Medicare Advantage underwriting input set — eligibles, enrollment, penetration and growth, county benchmarks, payer mix, plan presence across 2.3 million plan×county rows, county risk scores, and PCP supply — in under a second, every figure carrying its CMS source.

10

Compliance, Integrity & Legal

6 capabilities

68Credentialing, exclusion & sanctions screening

Screen providers against OIG exclusions and sanctions in seconds.

69Provider fraud-risk scoring products

Score providers for fraud risk from billing and payment patterns.

70Mass-tort & product-liability support

Build device and drug liability cases from the safety and exposure record.

71Pre-MDL litigation-readiness monitoring

Monitor the adverse-event signals that precede mass-tort waves.

72Qui tam & whistleblower case development

Surface the billing anomalies that support qui tam cases.

73Multi-state medical-board discipline — the signal federal screens missLive

Physician disciplinary actions from state medical and osteopathic boards — 16,691 actions across five states (AZ, NY, WA, DE, LA), resolved to NPI. Roughly 88% of state-disciplined physicians never appear in the federal integrity screen — the blind spot a public conduct check leaves open.

11

340B & Supply Chain

3 capabilities

74340B & contract-pharmacy intelligence

Map 340B entities and their contract-pharmacy networks.

75340B diversion & anomaly detection

Flag the dispensing patterns that signal 340B diversion.

76GPO & supply-chain analytics

Analyze purchasing and supply patterns across facilities.

12

Provider Data, Workforce & Access

8 capabilities

77Provider-directory enrichment & validation

Clean and enrich any provider file against the federal record.

78Provider recruiting & staffing intelligence

Find and qualify providers by specialty, volume, and location.

79Expert-network sourcing & vetting

Source and vet experts by real clinical footprint.

80Specialty-shortage & access-gap mapping

Map where specialty access is thin, by geography.

81Health-equity & disparities analysis

Quantify disparities in access and utilization across populations.

82Health-policy & academic research datasets

Deliver research-grade, linked datasets for policy and academia.

83Government & state-program oversight support

Support program oversight with linked utilization and ownership data.

84Grant & RFP intelligence

Surface grant and RFP opportunities matched to an organization's profile.

13

Productization & Monetization

5 capabilities

85Data-as-a-service & API licensing

License the connected graph as an API or data feed.

86Peer-benchmarking SaaS for practices

Sell practices a dashboard that benchmarks them against their peers.

87Healthcare-intelligence newsletter & media

Turn Concinna into a recurring intelligence media product.

88Training data & RAG corpora for healthcare AI

Package linked, structured corpora to train and ground healthcare AI.

89Custom dashboards & embedded analytics

Deliver white-label dashboards and embedded analytics to clients.

14

Risk Adjustment, PBM & Cash-Pay Intelligence

7 capabilities · all live

90HCC / RAF risk-adjustment validationLive

Validate Medicare Advantage risk scores against the full ICD-10→HCC map (V28 and V24) and real prescribing — the RAF audit ACOs and MA plans run by hand.

91Risk-adjustment prescribing-signal detectionLive

Surface the chronic conditions a member's drug regimen implies but the chart hasn't yet coded — the gap between prescribed reality and documented risk.

92Employer → PBM mapping, from the filing that hides itLive

Name which employer uses which PBM and the disclosed fee, pulled from DOL Form 5500 — OptumRx alone at $1.46B across 295 plans.

93PBM switch detection & competitive alertsLive

Catch employers changing PBMs year over year, with the dollars attached — 25 verified switches, 2022→2023, including Norton Healthcare's $96M move.

94Self-insured employer benefits intelligenceLive

Covered lives, premium, carrier, retention, and broker per employer plan — the P&L view a PEO or carve-out prospect can't see about itself.

95Compounding & cash-pay pharmacy mappingLive

The 9,826-pharmacy compounding universe and the national PCCA/APC member directories, joined to Part D network reach — the cash-pay supply chain the federal record can't see.

96Commercial-vs-Medicare markup intelligenceLive

Per-hospital commercial markup × industry payments × Medicare volume × ownership — the cross-source query a price-transparency-only tool structurally cannot run.

15

Money, Ownership & the Cost of Care

8 capabilities · all live

97Hospital economics, end to endLive

Commercial markup vs Medicare vs cost-to-charge vs charity-care spend, per facility — the "what it costs vs what they charge" view, from the hospital's own federal filings.

98The hospital that is also an employerLive

Join a hospital's commercial pricing posture to the health plan it sponsors for its own employees — pricing aggression on one side of the EIN, benefits economics on the other.

99Formulary access & steering intelligenceLive

For any drug: which plans cover it, at what tier, behind what prior-auth and step-therapy gates — across 329 formularies, refreshed monthly.

100Drug acquisition-cost benchmarkingLive

NADAC weekly acquisition cost vs Medicare ASP vs real Part D spend, per drug — the spread every PBM negotiation and carve-out pitch turns on.

101Nonprofit health-system financial profilingLive

Revenue, expenses, and community-benefit posture from IRS filings for 345,000 exempt organizations — the financial reality behind the nonprofit banner.

102The exempt-organization universeLive

1.97 million organizations resolved by EIN — the spine that joins hospitals, foundations, plans, and the entities behind them across every other layer.

103Ownership-change monitoringLive

CMS change-of-ownership filings joined to the ownership and private-equity flags already in the graph — watch control of facilities move.

104Public-company healthcare financialsLive

Every XBRL financial fact for every SEC healthcare filer — the for-profit mirror of the 990 layer: payers, chains, pharma, and the telehealth marketplaces, joined by CIK and EIN.

16

Conduct, Corporate & Influence

9 capabilities · all live

105Deal-day conduct screeningLive

One pass, five federal conduct authorities: OIG exclusions, SAM debarments (167,580, NPI-keyed), OFAC sanctions (64,179), Commerce trade screening (25,766), and state Medicaid exclusions (39 states, 91,552 records). Clear or flag a target before the wire goes out.

106FDA conduct & enforcement trajectoryLive

Every inspection, citation, compliance action, and import refusal for a firm — 1.16M events on a single FEI timeline, from first 483 to warning letter to close-out.

107Public-company healthcare universeLive

Every SEC healthcare filer wired to one entity spine by CIK and EIN — the corporate parent behind the NPIs.

108Quarterly financial cross-examLive

886,072 XBRL facts: what management reports each quarter, laid beside the federal utilization and payment record — self-reported revenue vs the claims arithmetic.

109Employer & benefit-plan economicsLive

544,000 Form 5500 filing and Schedule A rows resolved to employer EINs and their health carriers — who insures whom, plan size, and the PBM behind the benefit.

110ACO & value-based scorecardsLive

Thirteen performance years of MSSP results and the full ACO REACH PUF family — 303,686 provider-roster rows, entity by entity, year by year.

111Political & lobbying exposureLive

25M FEC individual contributions by employer and occupation, plus federal lobbying filings tied to client names — the influence footprint behind a healthcare entity.

112Federal research & award flowsLive

NIH RePORTER grants by organization and investigator joined to HHS award spending — where the federal money goes, and to whom.

113Exempt-organization financial realityLive

1.97M organizations by EIN with IRS 990 financials on 345,000 filers — revenue, expenses, and community-benefit posture behind the nonprofit banner.

Point it at your market.

Every capability above runs on one connected record. Start with a single market.

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