Where the U.S. serious illness movement meets the world's leading care models.
A boutique go-to-market and partnerships firm for the serious-illness, palliative, and caregiving economy. We hold both sides of the table, the conveners who set the agenda and the providers who do the admitting.
We hold both sides of the table.
State hospice & palliative associations and national alliances. They run the conferences, hold the membership, and decide which vendors get the stage.
One relationship → a whole state's providers.
Hospices, home health agencies, community-based palliative programs, Area Agencies on Aging, PACE, and health systems.
Warm, briefed introductions to the exact buyers, ready to pilot.
The 1A Model
Each step compounds into the next, waypoints on a single flight plan.
Map the buyers who actually pay, the best entry points, and the reimbursement tailwinds that strengthen the case.
Warm, named introductions into providers, associations, and alliances, each with a pre-call briefing and a debrief afterward.
Design and stand up early pilots with hospices, home health, and AAAs, brief the team, then manage follow-up through to signed deals.
Pipeline tracking, association sponsorship placement, event visibility, and strategy, a standing seat beside your growth team.
Relationship equity, converted into revenue.
Grant won with a data-analytics partner and a national coalition to transform state Medicaid palliative care benefits across 6 states.
Grant secured for a California statewide coalition advancing palliative and end-of-life care.
U.S. & European leaders convened in Barcelona at “The Future of Caregiving Is Now.”
Partnership launched with a caregiving start-up and the State of Louisiana to transform care for caregivers of people with dementia.
1A Consulting
A U.S. base and a European base, operating on U.S. hours: same-day answers and in-person working sessions on both continents.
We help European health & care startups land in the U.S.: buyer maps, warm introductions, and pilot economics.
Beyond opening doors, we build the rooms, most recently co-hosting a flagship caregiving event with the Barcelona & Madrid Health Hub.
By name.
The conveners who set the agenda and the partners who move care forward, relationships that span both sides of the Atlantic, from Spain to the United States.
“Relationship equity means nothing without a system to convert it into revenue.”
Luke C. Scuitto has spent years guiding mission-driven health innovators through the U.S. serious-illness landscape, with deep relationships across national alliances and state associations, and an active presence in European caregiving circles.
Meet Luke →
Why we're called 1A.
On every flight, Luke requests the same seat.
1A: first row, window, first class. Not for the champagne, but for the vantage: from 1A you can read the whole horizon before the wheels ever leave the ground.
That's the seat we take beside our clients, a clear line of sight across the entire landscape, altitude enough to see the long arc of the market, and a partner in the next seat who has flown the route before.
A full view of the terrain: every buyer, channel, and door, not just the next meeting.
Altitude and perspective, we track the long arc of the market, above the noise.
White-glove from takeoff to landing: same-day answers, briefed introductions, nothing left to chance.