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HomeProofCost of the status quo

Cost of the status quo

Use your hospital's staffing and outreach data.

Enter current clinical staffing and engagement. Replace the sample TCM and patient-value rates with Finance-approved values before using the revenue estimate.

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Model the cost of your current transition workflow.

Enter annual volume, clinical staffing, current outreach, and local reimbursement assumptions. The calculator shows labor load, coordination capacity, and a sensitivity range.

  1. 01Workload input
  2. 02Loaded labor
  3. 03Current failure cost
  4. 04Recovery assumption
  5. 05Service cost
  6. 06Sensitivity result

Planning estimate only. Finance should replace the sample TCM and patient-value inputs before use.

Model the cost of your current transition workflow. Enter annual volume, clinical staffing, current outreach, and local reimbursement assumptions. The calculator shows labor load, coordination capacity, and a sensitivity range. The diagram shows Workload input, Loaded labor, Current failure cost, Recovery assumption, Service cost, Sensitivity result. Planning estimate only. Finance should replace the sample TCM and patient-value inputs before use.

The model

Edit every assumption and inspect every formula.

The defaults illustrate a 150-bed hospital. Replace them with local values; each result keeps its formula and source visible.

Your numbers

Inpatient or observation to community. The default is an assumption of 43.3 discharges per staffed bed, carried from the worked example. Replace it with your actual count.

The default assumes 1.5 clinical FTEs per staffed bed, carried from the worked example. Edit to your actual headcount.

Navigators, coordinators, social work.

7%

The conservative default is the gap between what nurses report and their own stated ideal. We are not circulating a higher figure, in writing or in conversation, until it has a definition, a denominator and a period.

20%

Replace this with your measured rate. We do not have a citable industry norm for it.

60%

Drives both the navigator requirement and the revenue estimate.

40%
18%

Illustrative assumption from the cited model. Replace it with your measured rate.

25%

The visit must still happen in-window and be billed.

15%

Illustrative input reconstructed from the source model. Replace it with your finance-approved rate.

Illustrative input reconstructed from the source model. Replace it with your finance-approved value.

01 · Time on unlicensed work

Hours your licensed staff spend on work that needs no license

·

Enter your clinical headcount to see this.

How it is calculated

Clinical FTEs multiplied by the share of clinical time going to work that needs no license, at an assumed 1,600 productive hours per FTE per year. This sizes hours currently spent. It is not a claim about hours Rely returns, and what any recovered time gets used for is something we would measure with you rather than model here.

02 · Navigation capacity

Navigators you would need to hire to close the gap

·

Enter a current engagement rate and navigator count to see this.

How it is calculated

Your current navigators and your current engagement rate give a completed-transitions-per-navigator figure. That productivity is held constant and applied to your target rate. Derived entirely from your own two inputs.

03 · Reachable revenue

Estimated annual revenue associated with higher engagement

·

Set an engagement target above your current rate to see this.

How it is calculated

Two parts. Newly engaged patients who establish care in-system, multiplied by first-year patient value. Plus the Medicare share of newly engaged patients whose transitional-care management is eligible but unbilled, multiplied by the share you would realistically capture and the per-claim rate. This is the most assumption-sensitive output on the page. Both rates are editable and should be replaced with your own values.

Method and sources
  1. Annual discharges, clinical FTE and engagement defaults follow the worked example in Onward Insights' positioning work for Rely, August 2026. That example describes a 150-bed hospital and is an illustration of the method. It is not the result of a Rely engagement and no customer sits behind those numbers.
  2. The 18 percent transitional-care billing default comes from that same worked example and is an illustrative assumption. Replace it with your measured rate.
  3. Per-claim TCM reimbursement and first-year in-system patient value are reconstructed from the source model's published totals and exposed as editable inputs. Replace both with finance-approved local values.
  4. The 7 percent default is described in the worked example as the gap between what nurses report and their own stated ideal. Replace it with your measured rate.
  5. Labor-market figures are from the NSI National Health Care Retention and RN Staffing Report, 2026 edition and describe the market, not Rely performance. They are quoted with the report's edition year.

Review the assumptions with Finance.

Bring annual discharge volume, clinical staffing, current outreach, local TCM reimbursement, and patient-value assumptions.

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