Pricing that makes value-based care not just viable—but genuinely attractive for providers
LOGIC pricing is simple, transparent, and built around CMS fee‑for‑service programs.
We charge fixed, fair‑market rates per service delivered, always below CMS reimbursement—and providers retain the margin.
How our pricing works
LOGIC is paid per CMS-billable service delivered. Fees are fixed by code, collected after reimbursement, and include the full operating model.
How we charge
Per-service, fixed rates (by CMS code). We charge a fixed, fair-market-value fee for each delivered service mapped to CMS care-management programs (e.g., AWV, CCM, PCM, RPM). Providers submit claims under their billing process and retain the net reimbursement.
When we collect
Paid after reimbursement (no working capital required). LOGIC invoices after reimbursement is collected. There is no upfront capital requirement and no working-capital float—fees scale with realized, paid claims.
What's included
All-inclusive pricing (no separate fees). Per-service fees include program operations end-to-end: program management, clinical staffing and supervision, documentation workflows, billing-ready outputs, compliance/QA, and RPM devices/logistics where applicable. No platform fees. No implementation fees. No device charges.
What you're paying for
LOGIC provides a turnkey care-management operating model—we design, launch, and run programs end-to-end.
Our per-service fees are all-inclusive: the fixed rates you pay cover the full operating model below, with no platform fees, staffing add-ons, device charges, or separate implementation costs.
End-to-end program management
LOGIC provides experienced program leadership that designs, launches, and scales care-management programs that actually work in practice. Our teams bring tested workflows, regulatory know-how, and operational discipline to manage compliance, QA, and performance over time—so programs don't degrade after go-live.
Clinical labor and supervision included
We provide the clinical workforce required to run care management day to day—including RNs, MAs, and care navigators—operating under your clinical governance and supervision policies. Your physicians retain clinical decision-making and sign-off; our teams execute defined workflows and surface exceptions back to them.
Technology and devices—fully bundled
LOGIC supplies the software, tools, and infrastructure required to deliver care-management programs reliably. Where RPM is used, we provide devices, logistics, and monitoring workflows as part of the same operating model—without separate contracts or add-on fees.
EMR-native documentation and CMS-ready billing
All care-management activity is documented directly in your EMR using standardized note types, care plans, and time tracking. We produce clean, CMS-ready billing outputs so your billing team can submit claims confidently and defend them with a complete audit trail.
What this means financially
Incremental revenues with $0 upfront capital investments, without building or managing internal teams
Net $30–$60 average PMPP care-management revenue after LOGIC fees
Predictable, recurring revenue tied to enrolled and engaged patients.
$0 working capital and no fixed cost exposure
No upfront investment. LOGIC is paid only after CMS reimbursement is collected—costs scale strictly with realized revenue.
Turning CMS's value-based care mandate into sustainable reality
Care models that close gaps, improve outcomes, and reduce avoidable utilization—executed in a way that actually works economically for providers.
See your pro forma before you commit
Share your panel size, payer mix, and a sense of your current CCM/RPM activity, and we'll build a conservative model of what a LOGIC-run program could look like for you.
Notes: Pricing varies with volume, scope, payer mix, device needs, and EMR patterns. Commercial terms are subject to due diligence and agreement. Nothing here is legal, coding, or reimbursement advice.