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Medicaid Renewal Value Calculator

What could renewal preparation
be worth to your team?

Use renewal cases and net navigator time to explore capacity value. Add your own coverage-continuity assumptions in the optional scenario, or switch to Patient Access.

Explore your operating value

Start with your numbers.

Choose Patient Access or Medicaid renewal. Explore staff capacity returned, then add a separate coverage-continuity scenario if it fits your workflow.

Choose a calculator

Navigator capacity

Illustrative starting values · all editable

Include navigator review, follow-up, exceptions and submission in your net time estimate.

Your hourly staff cost values the time returned to your team.

How this estimate works

Annual hours = monthly cases or requests × share suited to the workflow × completion share × net minutes returned × 12 ÷ 60. Capacity value = hours × loaded hourly cost.

Use measured before-and-after time when available. The starting values demonstrate the calculator; they are not product results.

Read the model correctly

Navigator capacity.
A clearer business case.

Include review, exceptions and follow-up in your net minutes. Use your team’s hourly staff cost to value the time returned. The starting values are illustrative.

01

Define the casework

Count renewal cases in the period, not phone calls, individual form answers or every adult in your population.

02

Value the time actually returned

A completed preparation step is not a retained-coverage outcome. Measure navigator work after review and exceptions.

03

Assess revenue effects separately

Use the optional continuity scenario for eligible patients, additional gaps prevented, coverage months preserved and collections. Gross collections potential stays separate from capacity value.

Start with the outcome that matters

Bring your renewal workflow.
Build the case together.

Explore your state, case volumes, navigator workload and a review-ready preparation scope.

Let's start a conversation