Network retention focus. This model estimates revenue retained when post-discharge outreach improves in-network follow-up completion. Modeling TCM billing capture instead? Use the TCM ROI Calculator →
Volume
Share of discharges expected to complete PCP or specialist follow-up within 7–14 days.
Outreach Reach
Multi-modal outreach can lift reach substantially (e.g., +46% in a pediatric network case study).
Follow-Up Completion
Patients who complete in-network follow-up without successful outreach contact.
Engaged patients complete follow-up at higher rates (Intermountain engaged vs. unengaged gap; WFGIA +13% completion when pre-call engaged).
Revenue Assumptions
Share of patients who miss follow-up and leave the network within 12 months (editable; Middlesex links follow-up barriers to care fragmentation).
Attributed downstream visit revenue or margin for patients who stay in-network after discharge.
Annual Revenue Recovered
From patients who stay in your network after discharge instead of seeking care elsewhere.
Patients Retained In-Network
Estimated patients kept in-network per year from improved post-discharge follow-up.
Follow-Up Funnel Analysis
Follow-Up Completers (Annual)
Patients Retained In-Network
| Metric (Annual) | Manual | With CipherOutreach | Variance |
|---|
Related quality savings (readmissions)
Separate from network retention revenue — illustrative cost avoided when additional follow-up completers have lower readmission rates (Intermountain: 2.6 pp gap engaged vs. unengaged; AHRQ avg readmission cost $16,300).
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Formulas
- Eligible volume = discharges × follow-up eligible %
- Completers = (reached × reached completion %) + (unreached × unreached completion %)
- Additional completers = automated completers − manual completers
- Patients retained = additional completers × leakage rate for non-completers
- Revenue recovered = patients retained × avg Year-1 revenue per patient
Benchmark sources
- Intermountain Healthcare: 41% fewer 30-day readmissions; seamless PCP transition reduces leakage
- Intermountain: 2.6 percentage-point readmission gap (engaged vs. unengaged outreach)
- Pediatric network: +46% post-discharge reach with multi-modal outreach
- Middlesex Hospital: follow-up appointment barriers linked to readmission risk
- AHRQ HCUP: ~$16,300 average cost per 30-day readmission
Estimates are illustrative; actual results vary by baseline, program design, and patient population. Not a guarantee of outcomes.
Total Annual Revenue Recovered
Network retention from improved post-discharge follow-up completion.
Intermountain reported $15M in savings from post-discharge follow-up programs.