Signal/pitch/signal-asset-package-v1.md

Signal — Asset Package | Executive Summary

STTIL Solutions LLC | Confidential | April 2026

---

Market Opportunity

The CGM DMEPOS market is entering a window of structural stress that rewards suppliers with proactive coverage management tooling.

• 2028 Competitive Bidding (CB): CMS is expanding CB to CGM categories. Margin compression will accelerate. Suppliers that reduce denials and appeals overhead gain a direct cost advantage over competitors still running manual, reactive workflows.
• Prior Authorization Expansion (April 13, 2026): CMS implemented expanded PA requirements for CGM and related DMEPOS categories. Every prior auth cycle introduces a coverage gap risk. Suppliers need automated visibility into those gaps to act before a claim touches a PA trigger.
• Enrollment Moratorium: CMS supplier enrollment moratoria in high-risk areas are tightening the supply pool. Existing enrolled suppliers face consolidation pressure and rising per-patient management burden — exactly the problem Signal is designed to reduce.
• Denial Patterns: CGM claims deny on predictable, preventable conditions: coverage lapsed before refill, physician visit not renewed on the Medicare 180-day cycle, quantity exceeds allowable without documentation. Signal flags all three before shipment, not after.

The total addressable market is approximately 7,500 Medicare-enrolled DMEPOS suppliers billing CGM. A conservative 1% penetration at $3,600 ARR = $2.7M ARR. CMS projects CGM beneficiaries to exceed 3.2 million by 2028.

---

What Signal Does

Signal is a B2B documentation worklist tool built for DMEPOS supplier back-office teams. It replaces manual spreadsheet tracking with an automated, rule-driven coverage clock.

• Coverage Clock: Calculates coverage expiration per patient per device using payer-specific wear-day rules (Dexcom G6/G7, Libre 2/3, Omnipod 5). Medicare visit renewal (180 days) is tracked as a separate flag.
• 24-Hour Batch Worklist: n8n orchestration runs nightly. Staff arrive to a sorted worklist — OUT_OF_COVERAGE, VISIT_DUE, REFILL_WINDOW, OK — with highest-urgency patients at the top.
• Minimal PHI Surface: The system ingests patient_id, device_type, shipment_date, quantity, payer only. No names, SSNs, DOBs, or contact information enter the system. The supplier's own staff map patient_id back to identity in their existing systems (Brightree, EHR). All audit logs hash identifiers before storage.
• Self-Hosted: Runs on supplier's own VPS or STTIL-managed Hostinger VPS. Data never leaves the supplier's network. No third-party SaaS dependency on the data path.

---

What's Included in the Sale

Asset	Description
Full source code	Python/FastAPI backend, coverage calculator, audit logger, PostgreSQL models, payer rules config
Research library	DMEPOS market research v3, compliance roadmap v1, CB/PA regulatory analysis
BAA templates	Hostinger VPS BAA request template; operator BAA framework for customer agreements
Newsletter strategy	Subscriber acquisition strategy for DMEPOS supplier outreach (v1)
n8n workflows	Self-hosted batch trigger workflow exports
CLAUDE.md handoff	Full AI-assisted development context file — new owner can continue building with Claude Code with zero ramp-up loss
30-day knowledge transfer	Live sessions with STTIL Solutions founder covering architecture, payer rule updates, compliance posture, and go-to-market

Buyer receives all intellectual property, documentation, and development context as a clean, working asset. No vendor lock-in. No ongoing royalty.

---

Ideal Buyer Profile

Option A — DMEPOS Supplier (Direct User) A mid-size supplier billing 200–2,000 CGM patients/month who currently manages coverage tracking in spreadsheets or Brightree custom fields. Immediate ROI through denial reduction. Can deploy internally or white-label for peer suppliers.

Option B — Healthcare Operator / DME Platform A DMEPOS software vendor, billing company, or managed services operator looking to add a differentiated coverage intelligence module to their existing platform. Signal integrates cleanly into existing FastAPI or Django stacks.

Option C — Consortium or Buying Group A DMEPOS buying group or GPO representing multiple suppliers. Acquire once, deploy across member base. License to members as a value-add service. Buying groups operating in markets with active CB expansion have the strongest urgency case.

---

Investment Range

$25,000 — $60,000 (one-time asset acquisition)

Range reflects buyer type and included transfer scope. Direct supplier buyers at the lower end. Platform/operator buyers and consortium structures at the higher end. All terms negotiated directly with STTIL Solutions LLC.

No SaaS subscription required. No ongoing royalty. Buyer owns the asset outright.

---

Why Now

• PA expansion is live as of April 13, 2026 — suppliers are feeling it now
• CB 2028 planning cycles begin at the supplier level 18–24 months out
• The enrollment moratorium is reducing the number of new entrants who can absorb this problem with headcount — existing suppliers must solve it with tools
• Early buyer gets the asset before it is offered to competitors in their market
• 30-day knowledge transfer window is time-limited and not guaranteed after initial close

---

Contact

[CONTACT PLACEHOLDER]