Pricing models vary within the market. Frost & Sullivan suggests that two models predominate. For accountable care organizations, hospitals, payers, and payer-providers, software pricing is often calculated according to a Per Member Per Month (PMPM) model. For physician practices, price is more often determined by a Per Physician—or Per Provider—Per Month (PPPM) fee.
Enli Health Intelligence
Evidence-based care plan
Seamless workflow integration
Point solutions & programs
No evidence-based care plan
Difficult to scale
No evidence of ROI
Few offering evidence-based care plans
Significant configuration resources & fees
Limited evidence of ROI
How We Make Pricing Easier
Enli offers several flexible pricing models, supporting population health software deployment in enterprise or a-la-carte implementations. In addition to PPPM pricing, Enli enters into performance-based contracts with provider organizations interested to share risk.
Want to learn more about the topline financial impact that Enli PHM software can make?
Using the Revenue Calculator below, you can supply organization-specific input, hit “Calculate”, and generate an estimate of incremental fee-for-service revenue, as well as additional revenue to be earned under value-based contracts.
# PATIENTS MANAGED
Assumptions: This model estimates the revenue impact of Enli CareManager for a subset of quality improvement initiatives, including diabetes management, cardiovascular risk reduction, and preventive screening. It is a conservative model powered, in part, by the following assumptions: 1. Driving improved quality increases lab and visit volumes, beneficial under FFS contracts, specifically Commercial FFS and MIPS (which is grounded in FFS) 2. Driving improved quality leads to higher quality scores in quality measure-based VBR programs, specifically MIPS (quality bonus/fee schedule increase) and MSSP (larger share of shared savings) 3. Driving improved quality leads to fewer high cost interventions (e.g. heart attacks, hospitalizations, ER visits), which is beneficial under capitated and PMPM spend-based contracts (share savings/shared risk), specifically MSSP.
“By calculating the revenue potential for closing gaps in care and the revenue from meeting quality metrics in upside risk contracts, healthcare organizations have a “de-facto budget” that can be used to negotiate budget for and support at-risk contract investments in both technology and people. The Enli model could also be used to create “what if” scenarios to test assumptions about the return on capacity investment.”