LEAD-ready today · Supporting REACH through the 2026 sunset

Payment technology built for the next era of value-based care

Scalesz Pay automates the payments your contracts actually require — attribution, capitation, sub-capitation, 835s, EOPs, and direct EFT — for ACO LEAD, PC Flex, MSSP, and commercial arrangements. No spreadsheets, no IT overhead, live in six weeks.

Book a Demo Explore the Platform

HIPAA-aligned · BAAs with every client · US data residency on Microsoft Azure

ACO REACH ends December 31, 2026. The LEAD Model begins January 1, 2027 — and your payment operations need to make the transition without missing a provider payment.

Plan your LEAD transition →

Solutions

Purpose-built for your payment model

Whatever CMS or commercial arrangement you operate under, the payment mechanics are already configured — not custom-built on your dime.

ACO LEAD Model

The 10-year model replacing ACO REACH on January 1, 2027. Scalesz is LEAD-ready today — transition your REACH payment operations without disruption.

ACO PC Flex Model

Manage Prospective Primary Care Payments and your Advance Shared Savings Payment with a platform priced for low-revenue ACOs.

MSOs & Commercial VBC

One platform across Medicare, Medicare Advantage, and commercial value-based contracts — delegated arrangements included.

How it works

From CMS file to provider payment in three steps

Tasks that used to take multiple platforms, spreadsheets, and days of manual work happen in one system.

Ingest

Load CMS files directly — weekly claim reduction, monthly membership, quarterly attribution — plus any payer eligibility or provider file. No reformatting, no spreadsheets.

Configure

Set payment rules by TIN with NPI-level exceptions. APO, PCC, and TCC structures, carve-outs at different rates, client-defined retroactivity — all configuration, not custom code.

Pay

Calculate accurate sub-capitation and generate industry-grade 835 ERAs, PDF EOPs, and reports — then disburse to provider groups by direct EFT.

See the full platform tour →

Why Scalesz

Enterprise-grade payment integrity without the enterprise overhead

Live in six weeks

Rapid, rigorous SaaS implementation. Most clients run their first full payment cycle within six weeks of kickoff.

Built on CMS methodology

Attribution and capitation calculations follow CMS methodology precisely — so your numbers reconcile with the source.

Full methodology transparency

Every calculation is traceable from source file to payment. No black boxes between you and your provider groups.

Pay only for what you need

Modular pricing sized for small and mid-sized ACOs. No paying for enterprise features you will never turn on.

Built by operators

Founded by ACO/MSO operational executives and healthcare software entrepreneurs — we ran these processes before we automated them.

Actionable Insights included path

Lightweight, action-oriented analytics — financial insights, utilization actions, primary care, care coordination, and ADT alerts — on top of your payment data.

Built by operators

We ran ACO and MSO payment operations before we automated them

Scalesz was founded by MSO and ACO operational executives and healthcare software entrepreneurs with 35+ years of combined experience. The platform reflects how this work actually gets done — because we did it.

Meet the founders →

See Scalesz Pay on your own contracts

Bring one payer file and one payment arrangement — we’ll show you attribution, capitation, and outputs live in the platform. Implementation typically takes six weeks.

Book a Demo Request a complimentary LEAD-transition strategy session →