The Palomino Group

What The Palomino Group does

The Palomino Group (legal entity: The Palomino Group Health Care Consultants, LLC) is a privately held, Raleigh, North Carolina-based professional services firm founded in 2007 that delivers outsourced healthcare reimbursement and patient access solutions to healthcare providers, biopharmaceutical companies, and medical device manufacturers. The firm's core offering centers on custom Reimbursement Support Call Center Programs administered from a HIPAA-compliant call center facility in North Carolina, where reimbursement specialists handle insurance benefit and coverage verification, prior authorization assistance, coding and billing support, claims and appeal support, and other custom reimbursement workflows. The company complements these call center operations with Patient Assistance Programs for underinsured and uninsured populations, Custom Patient Access & Support Programs (including helpline coordination across providers and payers), Patient Adherence Programs for therapy compliance monitoring, Strategic Reimbursement Consulting (coding, market, and payer/PBM qualitative research), and Meeting & Program Support Services (advisory boards and focus groups).

The underlying technology stack is described as multi-channel call center technologies integrated with reimbursement domain expertise, packaged into what the firm calls "Center of Excellence Hub Platforms" that integrate with healthcare provider teams. The firm emphasizes empathy-trained specialist staff and a track record across payer types and biopharma/medical device product launches; no proprietary AI, APIs, or software product lines are disclosed. Distribution is fully direct to enterprise clients via a consultative sales motion with principal-level engagement, website contact forms, and a phone number (866-242-4638); no indirect channels, resellers, or marketplace listings are used. Pricing is quote-based and not publicly disclosed, with multi-year contracts typical for the professional services engagements.

Name

The Palomino Group

Legal name

The Palomino Group Health Care Consultants, LLC

Website

https://palominogroup.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

The Palomino Group is a Raleigh, NC-based healthcare reimbursement and patient access services firm serving healthcare providers, biopharmaceutical companies, and medical device manufacturers with HIPAA-compliant call center programs, patient assistance and adherence services, and strategic reimbursement consulting.

Ownership category

akta.pro rank

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Professional Services - Reimbursement Support: The company generates revenue through professional services engagements providing reimbursement support solutions to healthcare providers and life sciences companies. Services include reimbursement call center programs, patient assistance programs, custom patient access programs, patient adherence programs, strategic reimbursement consulting, and meeting/program support services. Revenue is derived from client engagements with biopharmaceutical and medical device companies.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

The Palomino Group Health Care Consultants, LLC is a B2B professional services firm that delivers healthcare reimbursement support and patient access solutions. Its core work includes operating reimbursement support call center programs, patient assistance programs, custom patient access and adherence programs, and strategic reimbursement consulting for biopharma, healthcare provider, and medical device clients.

Product overview

The Palomino Group is a healthcare reimbursement services company offering a portfolio of patient access and support services. The core offering consists of Reimbursement Support Call Center Programs, which combine multi-channel call center technologies with reimbursement expertise. Additional services include Patient Assistance Programs, Custom Patient Access & Support Programs, Patient Adherence Programs, Strategic Reimbursement Consulting, and Meeting & Program Support Services. These services work together to help patients and healthcare providers navigate reimbursement processes and ensure optimal coverage and access to treatment.

Differentiator

Problem solved

Functional benefit

Products and services

• Reimbursement Support Call Center Programs Multi-channel call center programs that provide reimbursement support services to healthcare providers and their patients.
• Patient Assistance Programs Programs that help patients access prescribed therapies by navigating insurance, financial assistance, and access support pathways.
• Custom Patient Access & Support Programs Bespoke patient access and support programs designed and operated for biopharma clients to enable patient onboarding, adherence, and continued therapy access.
• Patient Adherence Programs Programs that promote and support patient adherence to prescribed therapies through ongoing outreach, education, and assistance services.
• Strategic Reimbursement Consulting Consulting engagements that provide strategic guidance on reimbursement strategy, market access, and patient access program design for biopharma clients.
• Meeting & Program Support Services Operational and logistical support services for client meetings, advisory boards, and program execution events.

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Recent moves6 records

Direct peers

• UBC (United BioSource): Provides reimbursement support, patient access, and real-world evidence services to biopharma — overlapping Palomino's strategic reimbursement consulting and market access support offerings.
• AssistRx: Specialty therapy patient access and reimbursement hub providing prior authorization, benefits investigation, copay assistance, and adherence programs — closely aligned with Palomino's multi-channel call center and patient access offerings.
• TrialCard: Patient access, affordability, and adherence solutions provider (now part of AmerisourceBergen) serving biopharma with reimbursement hotlines, copay programs, and patient support services overlapping Palomino's offerings.
• Lash Group: A patient access and reimbursement services company (part of AmerisourceBergen/World Courier) that offers therapy-specific reimbursement hotlines, patient assistance programs, and adherence support — directly overlapping Palomino's core offerings for biopharma clients.
• Sonexus Health: Cardinal Health's patient access services business providing reimbursement support, patient assistance, and hub services to biopharmaceutical manufacturers — a directly comparable patient access hub service provider to Palomino's target market.

Emerging players

• CoverMyMeds: McKesson-owned prior authorization and benefit verification platform — comparable to Palomino's prior authorization and coverage verification services but delivered via a tech-enabled automated workflow rather than call center.
• Phreesia: Patient intake, eligibility, and prior authorization automation platform — adjacent to Palomino's call-center-based benefits verification and prior authorization services, representing the technology-enabled alternative model.

Broad incumbents

• ZS Associates: Large global consulting firm with a healthcare practice delivering reimbursement strategy, market access, and pricing & commercialization services — comparable to Palomino's strategic reimbursement consulting offering at a much larger scale.

Regional players

• Innomar Strategies: Canada-based patient support program and reimbursement services provider (part of AmerisourceBergen) offering patient access, reimbursement hotlines, and adherence programs similar to Palomino but primarily serving Canadian markets.

Others

• Pfizer Patient Assistance Foundation: Large pharma-operated patient assistance programs that compete for the same patient affordability and access budget that Palomino's PAP service targets — represents the in-house alternative to outsourced patient access services.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/the-palomino-group

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Palomino Group