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.

Enterprise pricing

PMPM platform + one-time implementation. Directional ranges shown below.

Core white-label platform

$1.50–$3.00/PMPM

Tiered by lives • 36-month minimum

Full white-label app & web
SSO & brand customization
FHIR-first integrations
Member Q&A & action plans
Doctor-ready reports

One-time implementation

$150k–$300k

Based on complexity

SSO configuration
Brand customization
Data onboarding
Custom language setup (cohort-specific LLM prompting; language complexity adjustments)
Launch communications
Training & documentation

Pricing examples are directional; final quotes via SOW. Volume tiers and minimums available in pricing schedule.

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.