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.
86% care continuity — 46 points above industry
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.
All value ranges taken from CMS and independent academic studies. Talk to the Lucerna team for a specific view for your organization.
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