Five-year value capture for a multi-provider practice. Provider hours returned from documentation and administration, converted into patient capacity.
Prepared by Vincent Oliver
Value Creation Operator
Scenario: Base Case
Client Value · 5-Year
—
Net of fees paid to Agentic Assembly
Total Investment · 5-Year
—
Build + retainer
Client Payback
—
On build investment
Scenario
The dominant driver is capacity, not headcount. Documentation, charting and prior-authorization work consumes provider hours that are already paid for. Conservatism is modeled as how much of that time comes back, and the returned hours are converted to visits at the provider's own existing rate, not an assumed one.
Operating Inputs
Physicians, NPs, PAs
hr
Sets the visits-per-hour rate
hr
Per provider, charting and prior auth
$
After payer adjustments
%
Net of variable cost per visit
mo
mo
$
One-time engagement fee
$/mo
Begins after build
Value Drivers · Annual at Full Run-Rate
Capacity converted to revenue
—
Computed · core driver
Denied and rejected claim rework
$
Billing / RCM
No-shows and unfilled slots recovered
$
Scheduling
Prior authorization labor
$
Staff hours
Other
$
Optional
Capacity converted to revenue is computed from the hours returned, the practice's own visits-per-hour rate, net revenue per visit and margin. The other three are supporting drivers identified in the audit; each ramps with adoption. If the practice is already at capacity, the returned hours are worth the staffing they displace rather than the visits they add, and the model should be run that way instead.
What Gets Built
Documentation drafted from the encounter. The note is waiting for review rather than written after hours, inside the EHR already in use.
Prior authorization assembled and tracked. Packets built from the chart, submitted, and chased to a decision without a staff member living in a payer portal.
Schedule kept full. Cancellations backfilled automatically, confirmations and reschedules handled without front-desk time.
Claims scrubbed before submission. Errors caught ahead of the clearinghouse, denials worked from the reason code.
Capacity and collections dashboard. Visits per provider, documentation hours, denial rate, and revenue per slot.
Capability overview. Specific systems are scoped during the Opportunity Audit, including PHI handling, the business associate agreement, and which data may leave the EHR.
Five-Year Build-Up
Period
Incremental visits
Client value
Agentic Assembly fees
Client cumulative
Year one is partial by design: value accrues after build and pilot, then ramps to full rate. Client value is shown net of fees so the two columns never double-count.