Building a Payor Reimbursement Intelligence Shield
for Medical Group Practices

SCIAD Health was born from a simple realization: independent physician practices are at a structural disadvantage when negotiating with payors.

Over the past decade at JPM Healthcare, we helped build some of the nation’s largest independent medical groups by aggregating practices under unified tax IDs and group NPIs, establishing governance, and consolidating contracting platforms.

One persistent challenge has been payer harmonization: aligning disparate legacy fee schedules into a unified structure without eroding historical value.

Traditional tools such as rate sheets, spreadsheets, and basic analytics are no longer sufficient. The industry lacks a true intelligence layer that can decode payer behavior, reconstruct reimbursement methodologies, model breakeven equivalents, and quantify economics with provider-level transparency.

SCIAD Health combines AI-driven analytics, competitor transparency data, and full utilization modeling to decode how practices are paid and to level the negotiating field.

SCIAD goes beyond surface-level rate comparisons. We reconstruct reimbursement logic, analyze market-plan parity, and deliver negotiation clarity grounded in full-practice economics.

When contracts age, base years shift, providers reconsider participation in an IPA or CIN, and payers leverage transparency data to reshape economics, complexity increases.

By quantifying reimbursement mechanics and modeling breakeven equivalents at scale, independent groups gain true reimbursement visibility and the ability to negotiate from a position of strength. The result is payer portfolios that are equitable, sustainable, and aligned with practice economics.

The objective is clear: secure economic payer alignment while preserving independence.

Medicine has never lacked clinical excellence. It has lacked reimbursement intelligence.