Capstone

Healthcare

We predict future policy changes, quantify their impact on your business, and develop strategies
to unlock hidden revenue opportunities.

We Predict Policy, Quantify Impact, and Create Strategy

Corporations and investors lean on Capstone’s expertise in healthcare policy to gain valuable insights on regulatory risks and global opportunities. Our process is designed to uncover innovative policy-driven ideas, advising private equity firms, corporations, and investors on the impact of regulation on potential and existing investments.

We leverage our ability to wade through public records of existing and proposed regulation, legislation, and other policy efforts. We combine that with our relationships with major industry associations, as well as senior policymakers and influential experts, to add value and identify opportunities for investment growth.

Select Healthcare Transitions

Capstone has been a trusted adviser on many public transactions. Below is a selection of recent transactions.​

Healthcare Coverage

Healthcare

Capabilities

  • Federal and State Policy Analysis
  • Reimbursement and Pricing
  • Market Sizing and Share
  • HCIT
  • Compatitive Positioning and VoC

Marketing Sizing and Share

Leverage open-source, proprietary, and vended datasets to build granular, high-fidelity bottom-up market sizing and market share model.​ Supplement bottom-up build with expert interviews and surveys to develop top-down validation and perform sensitivity analysis.

Sources Of Insight / Data

Leverage open-source, proprietary, and vended datasets to build granular, high-fidelity bottom-up market sizing and market share model.​ Supplement bottom-up build with expert interviews and surveys to develop top-down validation and perform sensitivity analysis.

Capstone’s Healthcare Edge: Real-time insights, investment-driven analysis, and deal team partnership yields tailored, concise, and actionable products

What Separates Capstone Healthcare from the Competition​

1

Proprietary Network

Capstone leverages a proprietary and purpose-built network of experts and other professionals involved in policy formation, influence, and analysis, including current and former policymakers, trade associations, lobbyists, government affairs staff, think tanks, and other policy thought leaders.

Real-Time 360 Policy/Regulatory Channel Checks

Instead of relying exclusively on former policymakers, institutional knowledge, and prior engagement work, Capstone provides real-time insights and channel checks. Capstone is non-partisan and agnostic to policy outcomes (i.e., we do not advocate/lobby), which keeps lines of communication open and honest.

2

Diverse Client Set

Capstone works across both the capital structure and the investment lifecycle. Our diversified client set includes private equity, growth equity, and venture capital firms; private credit and direct lending firms; long-only, long/short, multi-manager, and distressed/opportunistic credit hedge funds; and portfolio companies and corporates.

Investment-Driven Approach and Analysis

This approach provides Capstone with a unique perspective on each transaction and business and promotes more thoughtful analysis. Capstone frames all policy and regulatory risks through a financial and operational lens, making our products better-suited for discerning how policy and regulatory changes impact a company’s business model and economics.

3

Obsessive Focus on Quality Service and Quality Product

One dedicated team will work with you from scope writing to final deliverable to avoid misplaced incentives or less actionable products. Our involvement from start to finish ensures that no questions are left unanswered and we can direct resources toward policy/commercial considerations that may be less obvious but more impactful.

Partners in the Process

Every deliverable is tailor-made, based on a specific company’s operating model and strategy—not just major thoughts on the state of a given sector or “book report.” We tailor our work, communication, and service to meet the unique approaches and cultures of the deal teams, ICs, and sponsors we work with. The final deliverable synthesizes our outreach, research, and experience into an IC-ready deck.

4

Access to Capstone Events

Private markets clients who work with Capstone have access to client-only events with industry leaders, policymakers, and Capsone analysts in 2024, Capstone held 41 healthcare policy-focused events exclusively for our clients.

Interoperability on the Horizon

Capstone believes healthcare is in the early stages of digitization with a most healthcare data still fragmented, coming from countless (and growing) sources, stored in numerous formats, and exchanged in multiple ways, creating complexity and opportunity. While the increasing velocity of federal regulation and frameworks is accelerating innovation, we believe complete interoperability is still distant, leaving opportunity for existing vendors. In general, we believe increased data liquidity creates near-term opportunity for analytics-based companies while posing risk to “pipes” companies.​

Key Policy and

Investment Themes

  • Medicaid Despite OBBBA
  • New ‘Doc Fix’ Era
  • Interoperability on the Horizon
  • CMS Innovation Center Power
  • Ambulatory Site of Care Trends
  • Pharmacy Despite IRA, MFN,
    and Tariffs

Selected Issues

Payor

Capstone believes a FHIR-API driven exchange ecosystem supports eased access to healthcare data, benefiting vendors that support payors and providers with data-driven insights.

Provider

Capstone believes a FHIR-API driven exchange ecosystem supports eased access to healthcare data, benefiting vendors that support payors and providers with data-driven insights.

Pharma

Capstone believes a FHIR-API driven exchange ecosystem supports eased access to healthcare data, benefiting vendors that support payors and providers with data-driven insights.

HCIT

Capstone believes a FHIR-API driven exchange ecosystem supports eased access to healthcare data, benefiting vendors that support payors and providers with data-driven insights.

Payor

Capstone believes a FHIR-API driven exchange ecosystem supports eased access to healthcare data, benefiting vendors that support payors and providers with data-driven insights.

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