Why Scalesz
Built by people who have run these payments by hand
Scalesz was founded by ACO and MSO operational executives who lived the spreadsheet era of value-based payments — and built the platform they wished they'd had.
Rapid SaaS deployment — live in six weeks
No infrastructure to buy, no year-long implementation. A rigorous six-week onboarding takes you from kickoff to your first automated payment cycle, with thorough validation before anything is disbursed.
A robust, secure platform
Hosted on Microsoft Azure with US data residency, encrypted at rest and in transit, with access controlled through Microsoft Entra. We sign a BAA with every client. Security details are documented openly on our security page.
Full transparency in methodology
Our attribution and capitation math follows CMS methodology, and every calculation is traceable from source file to payment line. You can defend any number to a provider group, an auditor, or your board.
Cost-effective, modular pricing
You enable — and pay for — only the capabilities you need. Small and mid-sized ACOs get the same payment integrity as billion-dollar organizations, at a budget that makes sense for their size.
Flexible, configuration-based payments
TIN-level rules, NPI-level exceptions, APO/PCC/TCC structures, procedure carve-outs, custom retroactivity: it’s all configuration your team can manage, not change orders billed by the hour.
Continuous, industry-driven enhancements
When CMS publishes new model rules — REACH to LEAD, PC Flex updates — the platform moves with them. Your operations stay current without a re-implementation project.
The alternatives
Spreadsheets, legacy systems, or Scalesz
Most ACOs arrive here from one of two places: a heroic analyst with a workbook, or an enterprise system priced for someone else.
| Spreadsheets | Legacy enterprise systems | Scalesz Pay | |
|---|---|---|---|
| Getting live | Weeks of formula building per contract; single point of failure in one analyst | 6–18 month enterprise implementations | Six weeks, kickoff to first payment cycle |
| Contract changes | Re-engineer workbooks; errors surface as provider disputes | Change orders and professional services fees | Self-service template updates with effective dates |
| CMS file handling | Manual downloads, parsing, and copy-paste | Custom interfaces per file type | Native ingestion of weekly, monthly, and quarterly CMS files |
| Provider outputs | Hand-built PDFs and emailed Excel | Extra modules, extra licenses | 835 ERAs, PDF EOPs, and reports out of the box |
| Cost profile | Hidden: analyst hours, rework, audit exposure | Enterprise pricing regardless of ACO size | Modular pricing sized to what you use |
Ask our clients — then ask us the hard questions
We'll connect serious prospects with reference clients and walk through methodology in as much depth as your team wants.