What is your pricing model?

Per-member-per-month platform fee plus one-time implementation.

Do you offer ROI tools?

Yes. The calculator supports MA, Medicaid, ACA, IDN/Payvider, and Virtual presets with exportable PDF/XLS.

Vytivo

Enterprise pricing

Per member per month model; pricing varies by use case and scope. One-time implementation included.

Full white-label app & web

SSO & brand customization

FHIR-first integrations

Member Q&A & action plans

Doctor-ready reports

SSO configuration

Brand customization

Data onboarding

Custom language setup (cohort-specific LLM prompting; language complexity adjustments)

Launch communications

Training & documentation

ROI calculator

Estimate your potential return on investment with Vytivo

Input parameters

Member months

1,200,000 member months

Platform fee (PMPM)

$1.50$2.00$3.00

Benchmark PMPM Double‑bonus county (10%) New plan bonus (3.5%)

Probability of crossing 4.0

Rebate percentage

Illustrative interaction; verify with actuaries.

RAF delta (%)

PMPM revenue assumption

Shown inline

Admits per 1,000Expected admit reduction (%)Avg admit cost ($)

ED per 1,000Expected ED reduction (%)Avg ED cost ($)

Estimated annual impact

QBP uplift

$18,000,000

5.0% benchmark × probability

Illustrative rebate impact

$11,700,000

Rebate % × QBP (approximation)

RAF uplift

$14,100,000

PMPM × member months × RAF delta

Utilization savings

$42,300,000

Admits + ED avoided

Total benefit

$74,400,000

Estimated license cost

$2,466,667

Net ROI

$71,933,333

ROI multiple

30.16×

PMPY (net)

$719

Disclaimer: Illustrative only. Validate with actuaries. For ACA, value may be returned as richer benefits if MLR approaches 80%. For Virtual & RPM, CPT 99457/99458 are time‑based monthly services; rates vary by locality and the PFS conversion factor. The 16‑day device data rule does not apply to 99457/99458.

Calculation Methodology & Data Sources

Stars/QBP

Member months × Benchmark PMPM × 5% (10% if double‑bonus) × Probability

Source: KFF on MA Quality Bonus Payments.

RAF

PMPM × Member months × RAF delta

Source: Vytivo methodology.

Utilization savings

Admits/1k × cost × reduction + ED/1k × cost × reduction

Note: Conservative illustrative assumptions. Validate locally.

Total cost

(Member months × PMPM) + ($200K ÷ 3 years)

Note: Implementation amortized over 3 years.

Footnotes

• Patient experience and access measures weight 4 through 2025 and weight 2 beginning in 2026.
• 4 Stars ≈ 5% benchmark bonus (10% double‑bonus counties).
• See QRS/QHP Survey (ACA) and Medicaid Core Set for official guidance.