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.
PRIMARY VERTICALS
24 FTE’s
18 research analysts, 3 business development professionals, and 3 support staff
6 Verticals
Broadly defined verticals enable collaborative coverage of the entire US healthcare sector
4 Key Capabilities
Analysis of policy & regulation, reimbursement & pricing, commercial due diligence, ex-US analysis
90 Engagements
Comprehensive coverage and an obsessive focus on client service led to ~90 PE engagements in LTM
Healthcare Capabilities
- Federal and State Policy Analysis
- Reimbursement and Pricing
- Market Sizing and Share
- HCIT
- Competitive Positioning and VoC
Market 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
Market 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
Market 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
Market 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
Market 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
We Predict Policy, Quantify Impact, and Create Strategy
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
Partners in the Process
4
Access to Capstone Events
Key Policy andInvestment Themes
- Interoperability on the Horizon
- Reimbursement and Pricing
- Market Sizing and Share
- HCIT
- Competitive Positioning and VoC
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.
Market 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
Market 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
Market 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
Market 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
Selected Issues
Electronic Transactions details...
TEFCA details...
Information blocking details...
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.
- Overview: HHS is moving toward API-driven data exchange due to 21st Century Cures Act.
- Context: Since 2021, patients can download their health data; APIs will be important for interoperability.
Case Studies
Capstone has a proven track record of providing in-depth analysis across a wide range of policy and regulatory issues. Our case studies demonstrate our healthcare team’s ability to help clients navigate complex policy challenges and develop targeted revenue-driving strategies.
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In the News
Fierce Healthcare: Humana loses 2nd legal challenge to Medicare Advantage star ratings
Bloomberg: Humana Loses Second Lawsuit to Reverse Medicare Bonus Cuts
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Politico Pro: Health package waiting on the tarmac
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CNN: Here’s how Biden is averting a spike in Medicare drug plan premiums
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