ROI calculator
Enter your panel size, discharges and open gaps, adjust every assumption, and see an illustrative estimate. It’s a planning tool, not a guarantee.
Your assumptions
Transitional care
TCM contact rate today (percent)
Source: your data. The share of discharges that get the interactive contact within 2 business days.
TCM contact rate you are aiming for (percent)
Source: your target.
Payment per completed TCM episode (US dollars)
Source: your contract rate. CMS lists national rates for CPT 99495 and 99496 in the Physician Fee Schedule.
Care gaps
Share of open gaps you expect to close (percent)
Source: your target.
Value per closed gap (US dollars)
Source: your estimate of HCC recapture or quality incentive value.
Readmissions
30-day readmission rate today (percent)
Source: your data.
Relative reduction you are modeling (percent)
Source: your target.
Cost per readmission (US dollars)
Source: your claims data.
TCM payments from added contacts
Value of closed care gaps
Avoided readmission cost
This estimate uses the assumptions shown, which you can change. It is not a guarantee of results.
How it is calculated
TCM: discharges × 12 × (target rate − current rate) × payment per episode. It assumes each added contact becomes a completed, billable episode.
Care gaps: open gaps × share closed × value per gap.
Readmissions: discharges × 12 × readmission rate × modeled reduction × cost per readmission.
A percentage above 100 counts as 100, and a negative number counts as 0.
Resources
Customer stories How value-based care teams use Zynix →
Compare Zynix Side-by-side with other platforms →
FAQ Answers to common buyer questions →
Platform
Care plans TCM, AWV and CCM workflows →
Analytics Risk, quality and HCC gaps →
All AI agents How agents work with your care team →
Book 30 minutes with our team. We’ll go through each assumption with your own figures and show the workflows behind each line on sample data.