The Economics

The Revenue Per Identified Patient

Every newly identified patient triggers a measurable value cascade through existing billing codes and care pathways. No new reimbursement models required.

$4,500
RAF lift per diagnosis
HCC capture and risk adjustment
$1,200
CCM revenue per patient/year
Chronic Care Management enrollment
$412
Per evaluation (99214 + 99483)
E/M and care plan billing
Total Year 1 Value Per Patient
$6,112
Through existing CPT codes and RAF
What does this mean for your organization?
Adjust your population to see your numbers instantly.
Medicare Population 30,000
5K200K
Typical MSSP ACO. Mid-size ACOs serve 20K–35K members.
New diagnoses
identified
Conservative
Year 1 value
Full opportunity
inc. RAF capture
Get Your Custom Analysis
Projections based on published prevalence data and CMS reimbursement rates. Actual results vary.
Cookie Settings
This website uses cookies

Cookie Settings

We use cookies to improve user experience. Choose what cookie categories you allow us to use. You can read more about our Cookie Policy by clicking on Cookie Policy below.

These cookies enable strictly necessary cookies for security, language support and verification of identity. These cookies can’t be disabled.

These cookies collect data to remember choices users make to improve and give a better user experience. Disabling can cause some parts of the site to not work properly.

These cookies help us to understand how visitors interact with our website, help us measure and analyze traffic to improve our service.

These cookies help us to better deliver marketing content and customized ads.