Medicare and commercial revenue forecasting
Forecast Medicare changes for your practice.
Fulcrum reprices your actual claim lines under proposed Medicare rules, then follows each change through the commercial contracts tied to Medicare. Use the analysis to:
- Forecast Medicare and commercial impact by service, location, and provider
- Identify the codes and policy proposals driving the change
- Compare proposed-rule scenarios before budgets, investments, and negotiations
How it works
From your data to a practice-specific readout.
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1
Confirm the scope and secure intake. We agree on the analysis and applicable data protections before your claims export and contracts are transferred.
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2
Model the proposed changes. We account for locality, site of service, credentials, and modifiers, then apply each commercial contract’s base year, terms, and effective dates.
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3
Review the drivers and decisions. Compare service, provider, and location impacts, trace results to the underlying proposals, and test alternative scenarios.
Available as a one-time project or through continuous planning. Your claims and contracts are the starting point; Fulcrum Light does not require an EMR integration.
CY 2027 research reflects the proposed rule. Comments closed September 14, 2026; proposed estimates may change in the final rule.