FDE Outreach Research Campaign Report
Generated: 2026-01-22 Total Organizations Researched: 49 across 8 verticals Regions: Midwest (ND, MN, WI, MI, OH, IL) + New England/Mid-Atlantic (NY, PA, MA, CT, NJ, NH)
Executive Summary
This report contains prospect data for DaisyAI's FDE outreach campaign, targeting regional healthcare organizations (50-200 employees) that could benefit from clinical case management and utilization review solutions.
Results Overview
| Vertical | Organizations Found | Top Prospects |
|---|---|---|
| Workers' Compensation | 7 | Spooner Inc, A.I.M. Mutual, Lawson Group |
| Medical Billing | 7 | HAP, Precision Practice, Millin Associates |
| ABA Therapy | 7 | Beacon ABA, Caravel Autism, BCI |
| Behavioral Health | 7 | Mental Health CT, Northstar BH, Nicasa |
| Outpatient Clinics | 6 | Pioneer Physicians, CMS, Neighborhood HealthSource |
| Cardiology | 4 | Michigan Heart Group |
| Pulmonology | 5 | Pulmonology Associates, NOMS Pulmonary |
| Ambulatory Surgery Centers | 8 | GI Associates, Tri-Cities Surgery, Effingham ASC |
Geographic Coverage
Midwest States: North Dakota, Minnesota, Wisconsin, Michigan, Ohio, Illinois New England/Mid-Atlantic States: New York, Pennsylvania, Massachusetts, Connecticut, New Jersey, New Hampshire
Vertical Summaries
1. Workers' Compensation Organizations (7 found)
Workers' comp TPAs and managed care organizations handle utilization review, claims management, and care coordination for workplace injuries. Strong fit for clinical case management solutions.
Key Pain Points:
- High volume of prior authorization requests
- Need for evidence-based medical necessity reviews
- Compliance with state workers' comp regulations
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Spooner Incorporated | Westlake, OH | ~51 | Joe Spooner |
| SFM Mutual Insurance | Bloomington, MN | ~232 | Terry Miller |
| A.I.M. Mutual Insurance | Burlington, MA | 51-200 | Dan Landers |
| The Lawson Group | Concord, NH | ~50-100 | Scott Lawson |
| Mackinaw Administrators | Brighton, MI | ~50-100 | Bill Brown |
Market Notes:
- Several major Ohio TPAs (CareWorks, CompManagement) merged into Sedgwick - too large
- North Dakota uses state-run WSI - limited private TPA market
- Best prospects are regional mutuals and specialized industry-focused TPAs
2. Medical Billing Organizations (7 found)
Revenue cycle management companies handle clinical documentation and coding review. Medical necessity documentation directly impacts reimbursement.
Key Pain Points:
- Denial management requires clinical justification
- Prior auth delays impact cash flow
- Need for accurate clinical documentation
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Healthcare Administrative Partners (HAP) | Media, PA | ~164 | Brian Effron |
| Precision Practice Management | Saint Louis, MO | ~117 | Michael J. Barnell |
| Millin Associates | New York, NY | ~50-100 | Sol Weiss |
| Physicians Revenue Group (PRG) | Downers Grove, IL | ~47-100 | - |
Market Notes:
- Many regional RCM companies are small (<50) or very large (1000+)
- HAP and Precision Practice Management are strongest fits
- IL healthcare billing faces 17.5% denial rates - strong pain point
3. ABA Therapy Groups (7 found)
ABA therapy providers face significant authorization requirements from payers, especially for ongoing treatment hours.
Key Pain Points:
- Frequent reauthorization requirements
- Documenting treatment progress for medical necessity
- Managing denials for autism services
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Beacon ABA Services | Milford, MA | ~282 | Robert Littleton Jr. |
| Caravel Autism Health | Green Bay, WI | ~200-500 | Mike Miller |
| Behavioral Concepts (BCI) | Framingham, MA | ~100-200 | - |
| Behavior Frontiers | Multiple, MN | ~100-300 | - |
Market Notes:
- ABA therapy market projected to reach $5.9B by 2033 (4.5% CAGR)
- Many ABA providers are either small practices or PE-backed nationals
- Wisconsin and Massachusetts have strong regional ABA ecosystems
- Starting Jan 2025, MA covers ABA for Down syndrome (not just autism)
4. Behavioral Health Centers (7 found)
Mental health and substance abuse facilities deal with complex authorization requirements and length-of-stay reviews.
Key Pain Points:
- Level of care determinations
- Concurrent review requirements
- Medical necessity for continued treatment
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Mental Health Connecticut (MHC) | Hartford, CT | ~220 | Luis B. Pérez |
| Northstar Behavioral Health | Maplewood, MN | ~88 | Ross Newcombe |
| Nicasa Behavioral Health | Round Lake, IL | ~76 | Bruce Johnson |
| Mental Health Partnerships | Philadelphia, PA | ~100-200 | Dr. Jeannine Lisitski |
Market Notes:
- Strong regional opportunities in IL (Nicasa), MN (Northstar), CT (MHC), PA (MHP)
- Substance abuse treatment faces frequent authorization for residential stays
- Rogers BH is largest in WI but above target size
5. Outpatient Clinics (6 found)
Multi-specialty outpatient centers handle diverse prior auth requirements across service lines.
Key Pain Points:
- Multiple payer authorization requirements
- Coordination across specialties
- Administrative burden on clinical staff
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Pioneer Physicians Network | Uniontown, OH | 201-500 | Victoria DiGennaro |
| Community Medical Services | Phoenix, AZ (MI, OH, WI ops) | ~200-500 | Nick Stavros |
| Neighborhood HealthSource | Minneapolis, MN | ~100-200 | Steve Knutson |
Market Notes:
- Market is bifurcated: very small practices or large health systems
- FQHCs are good targets - federal funding, complex billing needs
- Ohio has strong independent practice ecosystem (Ohio Independent Collaborative)
6. Cardiology Organizations (4 found)
Cardiac practices face prior auth requirements for imaging, procedures, and advanced diagnostics.
Key Pain Points:
- Imaging authorization (echo, nuclear, CT)
- Procedure authorization (cath, ablation)
- Medical device authorization
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| Michigan Heart Group | Troy, MI | ~50-100 | Steven Ajluni, MD |
| Cardiology Associates of Michigan | Macomb/St. Clair, MI | ~25 | Dr. Mark Zainea |
Market Notes:
- Market is consolidating - CVAUSA model shows PE interest in acquiring practices
- Most cardiology practices are small (5-30) or part of health systems
- Michigan has several independent cardiology groups in Detroit metro
7. Pulmonology Clinics (5 found)
Respiratory practices deal with DME authorizations, sleep studies, and specialty medication access.
Key Pain Points:
- CPAP/BiPAP authorization
- Pulmonary function testing authorization
- Specialty medication access (biologics)
Top Prospects:
| Organization | Location | Employees | CEO |
|---|---|---|---|
| NOMS Eastern Ohio Pulmonary | Multiple, OH | ~50-100 | - |
| Pulmonology Associates Inc. | Wynnewood, PA | ~20-50 | - |
| Pulmonary Physicians Inc. | Ohio | ~20-50 | - |
Market Notes:
- Most pulmonology practices are small (10-50) or part of health systems
- Sleep medicine often combined with pulmonology - dual authorization challenges
- DME authorization for respiratory equipment is major pain point
8. Ambulatory Surgery Centers (8 found)
ASCs require prior authorization for procedures and must demonstrate medical necessity for outpatient surgical care.
Key Pain Points:
- Procedure authorization requirements
- Site-of-service determinations
- Documentation for medical necessity
Top Prospects:
| Organization | Location | Employees | Administrator |
|---|---|---|---|
| GI Associates | Milwaukee, WI | ~200-500 | Bob Kwech |
| Effingham ASC | Effingham, IL | ~40-100 | Jean Dunaway, RN |
| Tri-Cities Surgery Center | Geneva, IL | ~30-80 | Joseph Ollayos |
| The Surgery Center | Middleburg Heights, OH | ~30-80 | Barbara Draves |
Market Notes:
- Wisconsin has strong ASC ecosystem - nationally recognized for quality
- Many ASCs managed by national companies (PINNACLE III, SCA Health)
- GI Associates model (physician-owned with multiple ASCs) is strong regional example
- Most ASCs have 30-100 employees - good fit for target profile
Outreach Priority Recommendations
Tier 1: Highest Priority (Best fit for target profile + strongest pain points)
- Healthcare Administrative Partners (HAP) - PA - $103M revenue, 164 employees, radiology/multispecialty focus
- A.I.M. Mutual Insurance - MA - 12.4% market share, serves 18,000+ employers across New England
- Beacon ABA Services - MA/CT - ~282 employees, $51M revenue, PhD-led clinical team
- Mental Health Connecticut - CT - 220 employees, 100+ year history, statewide reach
- GI Associates - WI - Largest independent GI practice in WI, owns 6 ASCs
- Pioneer Physicians Network - OH - Largest physician-owned primary care in NE Ohio
Tier 2: Strong Prospects
- Caravel Autism Health - WI - 60+ locations, proprietary PathTap platform
- Northstar Behavioral Health - MN - 88 employees, MAT focus, regional expansion
- Precision Practice Management - MO - 117 employees, serves MN/MI practices
- The Lawson Group - NH - Unique full-service TPA model, nurses on staff
Tier 3: Good Fit / Smaller Scale
- Nicasa Behavioral Health - IL - 76 employees, 1 of only 9 state-licensed in IL
- Spooner Incorporated - OH - 51 employees, family-owned, one of 10 OH MCOs
- Michigan Heart Group - MI - CEO is physician leader, academic ties
- Effingham ASC - IL - 550 cases/month, high volume regional facility
Appendix
- Full organization data:
data.csv - Per-vertical details:
by-vertical/*.json - Total organizations: 49
- Organizations with CEO identified: 35
- Organizations in target employee range (50-200): ~25