Medicaid plans / Pilot planner
Find the access drop-off
Model the share of offered journeys that become completed care. All values are illustrative and should be replaced with local observations.
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.
Measure offered options, acceptance, completion, cancellation reasons, and member experience. Review differences by service area and access needs using privacy-preserving reporting. A lower emergency department count is insufficient evidence if people were unable to obtain needed care.