Value Calculator

What is engagement worth to your organization?

Select your organization type and adjust the inputs to see your potential annual value from better consumer and provider engagement.

87.5% chronic patient seen rate — 21 points above control

51.3% non-chronic patient seen rate — 42 points above control

Value Driver 1: Member navigation to high-performing VBC PCPs
25,000
5,000100,000
Typically 10–20% of commercial, 60–70% of MA members qualify.
Higher rates achievable with owned or deeply integrated provider assets.
Value per member per year

Value Driver 2: VBC provider performance lift
25,000
5,000100,000
Total VBC patients at contracted providers.
Incremental value lift per patient per year.

Potential annual impact

Driver 1 — Member navigation
Navigation value
$2.5M – $3.8M
2,500 members navigated
Driver 2 — VBC performance
VBC performance value (50% shared savings)
$6.3M – $9.4M
$29.17 – $43.75 PMPM · 25,000 VBC patients
Total annual value to health plan
$8.8M – $13.1M
PMPM (based on VBC patients)
$29.17 – $43.75
* VBC performance value reflects health plan's 50% share of total value generated under shared savings model

Key performance drivers

  • Navigate 5–15% of high-need members to high-performing VBC providers in your network, generating $500–$2,000 PMPY in navigation value
  • Support VBC provider performance — generate $250–$1,000 incremental value lift (e.g., lower medical costs, improved care gap closure, and accurate risk assessment) per patient annually above baseline through provider engagement, operational support, and performance enablement
  • 5x engagement lift driving 87% priority patient seen rate — our proven engagement approach dramatically increases appointment adherence and care coordination
  • Strengthen your VBC network by directing members to high performers, expanding your VBC network reach, and improving performance across your VBC provider base
  • Drive care continuity — consistent engagement keeps high-need members connected to their PCP, reducing costly care gaps and improving chronic disease management outcomes

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