Where the US 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 work alongside innovators on both sides of the Atlantic, guiding US teams to the buyers who matter and bringing Europe's most promising health and care companies into the American market with the right introductions already made.
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 can open 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
Every state, payer and provider network buys differently. Most entrants stall on cold outreach and pilots with no path to a contract. Each step below is built to avoid exactly that.
Payers, providers and funding, mapped state by state, so you know who actually pays.
Warm, briefed introductions into providers, associations and alliances, with a debrief after every call.
Pilots with a path to a contract, designed with hospices, home health agencies and Area Agencies on Aging.
Pipeline, events and sponsorships: a standing seat beside your growth team.
Proof from the field.
Grant won with a data analytics partner and a national coalition to transform state Medicaid palliative care benefits in six states.
Grant secured for a California statewide coalition advancing palliative and end of life care.
US & European leaders convened in Barcelona at “The Future of Caregiving Is Now.”
Free Eleplan seats funded for Louisiana dementia caregivers through the state's CDC BOLD grant with Well-Ahead Louisiana. Launched September 2026; 1A built the partnership.
1A Consulting
A US base and a European base, operating on US hours: same day answers and in person working sessions on both continents.
We help European health & care startups land in the US: buyer maps, warm introductions, and pilot economics.
See US Market Entry →Beyond opening doors, we build the rooms, most recently 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.
We're members of two of the city's health innovation communities, and we spend our time in Barcelona with the founders, investors, and health systems building what comes next.
“Relationship equity means nothing without a system to convert it into revenue.”
Luke C. Scuitto has spent about a decade guiding mission driven health innovators through the US 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.
Luke has always loved flying, and he’s a window seat person.
Seat 1A is the first window on the plane: front row, where you can see the route ahead before anyone else does.
That’s the seat we try to take for our clients: a clear view of the whole landscape, enough altitude to see where the market is going, and someone beside you 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.
Close to the people steering: briefed introductions, clear follow up, nothing left to chance.