Regional & national payers / Pilot planner
Size a first-market pilot
Explore how member reach, eligibility, acceptance, and follow-through affect a hypothetical pilot. Start with one defined market before combining populations.
Illustration: 1,000 × 60% × 50% × 60% × 80% = 144 completed episodes. These are adjustable assumptions, not observed outcomes.
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.
Agree on clinical review, member experience, completion, failure reasons, and appropriate subsequent-utilization measures before launch. Include implementation and operational costs in any financial analysis. Review comparable episodes after sufficient claims runout; do not extrapolate a national savings claim from a planning model.