Health plans / Pilot planner

THE BUYER’S DESK / 03

Model the completion funnel

See how reach, eligibility, and acceptance affect completed navigation episodes. Use your own assumptions; this is a planning model, not a forecast.

Modeled completed episodes / month144

Illustration: 1,000 × 60% × 50% × 60% × 80% = 144 completed episodes. These are adjustable assumptions, not observed outcomes.

How the model works

Potential episodes × reach rate × eligibility rate × acceptance rate × completion rate.

Illustrative assumptions only. No live patient, claims, provider, or pricing data are connected. Inputs stay in this page and are not saved or sent to NeXtriage.

Turn a scenario into a useful pilot.

Replace example values with a documented baseline, then vary one assumption at a time. Agree who will collect each measure, which population it covers, and when the team will review it.

The product distinguishes payer-specific rates, cash prices, Medicare-derived estimates, and unavailable data. A procedure rate is not the full visit cost or a member’s out-of-pocket liability. Validate code coverage, plan matching, and publication dates before using pricing in a member journey.

Use the health plans readiness checklist →

YOUR NEXT STEP

Bring your workflow.
Ask for a focused demonstration.

Review the fit, dependencies, and pilot measures with the NeXtriage team.

Discuss health plans →