Medicare programs ROI estimator
Projected enrollment, revenue, and operational cost for APCM and RPM — open Model assumptions to adjust medical assistant rate and RPM device cost.
Attributed or estimated size of your Medicare panel.
Edit medical assistant pay and RPM device cost. Monthly reimbursement rates below are fixed for this illustration.
USD per hour (loaded).
USD per RPM patient per year.
Estimated results
APCM Tier 2
RPM
APCM Tier 1 Excluded
Click Include APCM Tier 1 above to show enrollment, revenue, and cost for the low-risk chronic care management tier.
Eligibility model: APCM Tier 2 enrollment is estimated from the share of patients with two or more chronic conditions. All remaining Medicare-eligible patients are counted as APCM Tier 1. RPM enrollment is estimated as a proportion of APCM Tier 2 patients. Monthly reimbursement rates in model assumptions are illustrative CMS-style values; medical assistant rate and RPM device cost are editable. The calculation breakdown shows annual figures (monthly reimbursement × 12; device cost is annual per RPM patient).