Financial Benefits
Four Areas of Increased Revenue for Practices and Systems
Fee for Service
CPT revenue derived from billing codes 99453, 99454, 99457, 99458 No upfront capitalization and only pay for services that bring revenue into the practice; Midwest is pure variable expense and delivers a 30% profit margin for partnering practices.
Improved Quality Scores (HEDIS)
Maximize clinical incentive benchmarks stemming by enabling higher transparency and control of high-risk populations.
Reduced Acute Care Utilization Rates
Maximize profitability in shared saving/risk assumption models by reducing Patient acute care utilization rates and overall cost of care via adaptive preventative care. Currently serving full spectrum of risk models from PACE to shared savings.
Increased Practice Visits
Increase in practice visits stemming from discovered exacerbations, and subsequent medication/intervention changes.
Fee for Service
CPT revenue derived from billing codes 99453, 99454, 99457, 99458 No upfront capitalization and only pay for services that bring revenue into the practice; Midwest is pure variable expense and delivers a 30% profit margin for partnering practices.
Improved Quality Scores (HEDIS)
Maximize clinical incentive benchmarks stemming by enabling higher transparency and control of high-risk populations.
Reduced Acute Care Utilization Rates
Maximize profitability in shared saving/risk assumption models by reducing Patient acute care utilization rates and overall cost of care via adaptive preventative care. Currently serving full spectrum of risk models from PACE to shared savings.
Increased Practice Visits
Increase in practice visits stemming from discovered exacerbations, and subsequent medication/intervention changes.