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Question

What's the difference between "expected" and "actual" contribution margin?

Answer

"Contribution margin" (or "CM") is the net reimbursement received for patient visits after taking into account costs for providing patient care.

  • Expected CM is calculated as [expected reimbursements] - [direct costs] and it's used as a predictor for planning purposes.
  • Actual CM is calculated as [actual reimbursements] - [direct costs] and it's used as a reported performance metric during and after a campaign.

Where the data comes from

  • Actual Payments are loaded from the 'total_payment' field in the encounter financial file.
  • Costs are loaded from the 'total_direct_costs' field from that same file.
  • Expected Reimbursements are configured for the source during implementation. Check with your account team to understand your configuration.

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