There are three ways to put outbound in front of health plans, employers and provider groups: hire someone yourself, retain an agency, or have a dedicated rep recruited and employed for you. All three are compared below, including the rows where an agency wins.
Get a scope and quote ↗An agency is quickest to start and quickest to stop. An employed seat is neither, and keeps what it learns.
| In-house hire | Outsorcy | Lead-gen agency | |
|---|---|---|---|
| What you are buying | A salary and a headcount | A person in a seat | Booked meetings |
| Who employs them | You | Outsorcy, in Kosovo | The agency |
| Whose CRM and sequences | Yours | Yours | Often the agency’s |
| You interview and choose | Yes | Yes | Usually assigned |
| Works only your account | Yes | Yes | Often shared |
| Who directs the work | You | You | The agency |
| Learns your clinical and buyer language | Over months, and it stays when they stay | Over months, in your CRM and your docs, so the record stays even when the person does not | Stays with the agency when the contract ends |
| Cost of the seat | Full U.S. salary, benefits and tax | Up to 70% less than a comparable U.S. hire | Retainer, often per meeting or per lead |
| Commitment | Notice period, plus the cost of a bad hire | Six months, then 60 days’ notice | Frequently three months or monthly |
If you want to test a channel for eight weeks and stop, an agency is the right call and we are not. The six-month minimum exists because recruiting, employing and ramping a person is not worth doing for a pilot. If you sell hardware into hospitals rather than software to health plans, the seat looks different enough to have its own page: medical device lead generation.
An agency quotes you a number of qualified meetings and owns the process that produces them. That is a real service and some teams should buy it.
What we do is different in a way worth being blunt about: we recruit a person, employ them, and hand you the direction. There is no booked-meeting figure in the agreement, because the sequences, the target list and the qualification bar are yours. If those are wrong, a rep working faithfully to them will produce very little, and that is your lever to pull rather than ours.
The trade is control and permanence against a number in a contract.
A digital health company whose enterprise demand was outpacing its sales capacity. Outsorcy recruited three SDRs and employs them in Kosovo.
Qualified meetings, by month
One account, one quarter. It is a record of what happened at Wondr Health rather than a forecast for another seat.
Virta Health
Outsorcy has staffed Virta’s sales development team since January 2026. The reps are employed by Outsorcy and directed by Virta, reporting to a sales manager Virta employs.
An agency bills you a retainer, or a price per meeting. We bill you for a person: once at the start for their kit, then monthly for the seat.
The comparison people actually run is the retainer against the monthly fee, and the seat usually wins on a twelve-month view and loses on a two-month one. That is the whole trade.
If the rep is wrong for the job we find someone else at no charge, and a first shortlist that misses is followed by a free second one.
Send the target segment, the stack and the hours. You will get a shortlist within days.
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