What hybrid care is worth in your clinic.
Most of the value is not the RTM billing. It is the weekly capacity that opens up when a plan of care is delivered over a longer timeline instead of a shorter one — the same visits, spread differently, which frees slots you can fill. This models that, and shows the arithmetic.
Incremental subtracts what those freed minutes would have earned anyway if you simply backfilled with routine visits. It is the smaller number and the one that survives a sceptical partner.
Capacity unlock Net new, after subtracting what those freed minutes would earn anyway | $105,742 |
RTM reimbursement Medicare-driven, at capture rate | $25,066 |
Patient retention Acquisition cost avoided + recovered visits | $24,723 |
No-show recovery Valued at the low-acuity rate | $5,265 |
Cash-pay continuation Post-discharge engagement | $5,222 |
PT retention Soft — estimated, needs pilot validation | $7,875 |
| Annual value created | $173,892 |
| Less: SCRENR cost $6,000 base + $14,544 per-patient | −$20,544 |
| Net annual value | $153,348 |
Enrollment does not start at steady state. Year one lands at 59% of the mature number as the clinic ramps.
How to read this
Defaults are conservative and every one is adjustable. The capacity figure carries a realism dial that discounts theoretical freed time for scheduling friction and marketing latency, because freed minutes only become revenue if there is demand waiting and someone books it.
What this is not
Not a reimbursement guarantee and not billing advice. Rates are 2026 national averages that vary by locality and payer, and the PT-retention line is an estimate that still needs pilot validation. Code selection and claims stay with your clinic and your biller.