M17 · Insights
Enterprise Insights
Cross-module performance · revenue capture · cohort trends · clinical impact. Refreshed every 15 minutes from the CloudCare data fabric.
FY26 · YTD · all VISN 22
$11.42M
CMS reimbursement captured · 2,847 patients enrolled across 6 chronic-care programs · ER avoidance value not included
Net new pts
+412
▲ 18% MoM
Stars trajectory
4.1★
▲ +0.4 vs last yr
ER avoidance value
$4.5M
▲ vs FY25 baseline
7d
30d
90d
YTD
12mo rolling
Compare to · FY25 same period
CMS revenue capture · monthly
Stacked by program · FY26 YTD vs FY25 trend line
CCM
APCM
TCM
BHI
RPM
Revenue mix · by module
YTD share of $11.42M
CCM
$3.99M · 1,398 pts
35%
APCM
$3.20M · 1,182 pts
28%
RPM (99454/57)
$2.06M · 1,940 pts
18%
BHI
$1.37M · 286 pts
12%
TCM
$0.80M · 412 pts
7%
Enrollment · cohort × condition
Patient density · darker = more
HTN
DM2
CKD
CHF
COPD
DEP
ANX
PAIN
≥ 75y
428
312
271
141
128
88
62
182
65–74
512
388
198
120
112
154
141
228
55–64
312
198
88
42
71
186
172
218
45–54
141
82
28
9
31
128
141
162
< 45
42
18
7
3
8
71
82
94
Highest density: HTN × 65–74 (512 pts). BH (depression/anxiety) skews younger and is the fastest-growing band.
Top measure movers
Last 90 days · gap closure rate
A1c, SUPD, and CBP closing fastest. Falls-risk regressed slightly — recommend Doppler workflow review.
Site leaderboard
Composite score · YTD
1
Phoenix VAMC
1,847 pts · 4.4★
94.2
▲ 2.1
2
Mesa CBOC
412 pts · 4.2★
89.8
▲ 1.4
3
Glendale CBOC
298 pts · 4.0★
87.1
▲ 0.6
4
Surprise CBOC
186 pts · 3.8★
82.6
▼ 0.3
5
Tucson Annex
104 pts · 3.5★
76.4
▼ 1.8
99454 RPM yield
$2.06M
1,940 patients with ≥ 16 device days/mo
▲ 21% YoY
Avg minutes / pt / mo
28m
CCM · APCM · BHI combined
▲ above 20m floor
VIDA voice contacts
14,287
YTD outreach attempts · 81% completion
▲ +4.1 pp completion
ER avoidance · est
$4.5M
412 averted visits × $10,920 avg
▲ 18% vs FY25