Medicare Advantage / Pilot planner
Explore handoff completion
Adjust engagement and follow-through assumptions to plan a measurable pilot. Results describe hypothetical activity, not clinical outcomes.
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.
Track completion, response to unsuccessful handoffs, member experience, and relevant subsequent utilization. Claims-based cost analysis requires an appropriate comparison and follow-up period. Navigation activity should not be presented as a demonstrated improvement in quality ratings or clinical outcomes.