For FQHCs & Community Health Centers

Close the loop between care plans and proven action.

HealthLink360 connects a patient's health history, daily reality, and trusted care ecosystem to turn prevention opportunities into completed actions, then returns a source-linked record of what was attempted, completed, and blocked, right into your workflow.

See your prevention impact → Book a walkthrough
  • ✓ HHS EHIgnite Phase 1 Winner
  • ✓ Works with your EHR, never replaces it
  • ✓ Every ROI assumption published & sourced
A clinician reviewing a patient update on her phone
Patient update ready3 preventive actions completed. 1 barrier flagged for review.

The problem

The gap isn't knowing what patients need.
It's proving anything happened next.

BETWEEN VISITS

Prevention happens at home, not in the exam room

Blood pressure, food, medications, sleep, stress: the work of prevention lives in daily life. Your EHR sees the visit. It doesn't see the 361 days between annual visits.

AFTER THE REFERRAL

Referrals leave. Evidence rarely comes back

Screeners fire, care gaps close on paper, referrals go out, and follow-through disappears into phone tag, sticky notes, and systems that don't talk to yours.

AT REPORTING TIME

You can't fund what you can't show

UDS, HEDIS, grants, and value-based contracts all ask the same question: what actually changed for the patient? Without action-level evidence, the answer costs you revenue.

A community health worker listening to a patient at home
"CHWs and care teams already do this work. We just help it show up, every conversation, every follow-up, every barrier talked through between visits, turned into evidence your clinicians and funders can actually see."
How HealthLink360 fits into the CHW workflow

See your prevention impact

What is prevention activation worth to an organization like yours?

Every number below is computed live from published evidence, CMS rates, CDC prevalence, AHRQ utilization data, plus assumptions you can inspect and change. Conservative and expected scenarios are shown side by side.

Step 1

Tell us about your organization

Start with a quick size preset, then fine-tune anything you know.

Quick patient-size preset
Adjust if your exact annual patient count is different
U.S. adult average ≈ 11.6% (CDC). Health-center populations often run higher.
U.S. adult average ≈ 48% (CDC)
Total emergency department visits by your patients per year
Adjust assumptions
Share of eligible patients you enroll and engage
AHRQ HCUP: ~$530 avg (2017), inflation-adjusted upward
Placeholder for ROI math, actual pricing scoped per deployment
Step 2

See your estimated impact

Results update instantly as you adjust the inputs.

Live estimate
Estimated total annual value (conservative → expected)
$0
Care-coordination revenue floor + estimated ED cost avoidance
Eligible for care management
0
Patients with diabetes + hypertension (2+ chronic conditions proxy)
Enrolled & activated
0
At your selected enrollment rate
Estimated ROI
0.0×
Annual value ÷ annual platform cost
Revenue floor (conservative)
$0
CCM 99490 × 12 mo × 85% billing realization
Preventable ED visits avoided
0
Conservative → expected, engaged patients only
ED cost avoidance
$0
Avoided visits × average ED visit cost

Where the value comes from

Annual value by source, conservative vs. expected scenario
Conservative$0
Expected$0
Care-coordination revenue (hard floor, billable today) ED cost avoidance (evidence-based upside)
Assumption library, every value, sourced
MetricValueSourceConfidenceVer.
CCM base rate, CPT 99490 (per pt/mo)$66.13CMS Physician Fee Schedule, CY2026 national avgHighv1
CCM add-on, CPT 99439 (per pt/mo)$50.44CMS Physician Fee Schedule, CY2026 national avgHighv1
Billing realization (conservative / expected)85% / 90%HealthLink360 operating assumptionMediumv1
Add-on eligibility (expected scenario)30% of enrolledHealthLink360 operating assumptionMediumv1
Adults w/ diabetes who also have hypertension~74%CDC / NHANESHighv1
U.S. adult diabetes prevalence (default)11.6%CDC National Diabetes StatisticsHighv1
U.S. adult hypertension prevalence (reference)~48%CDCHighv1
ED utilization multiplier, multi-chronic patients2.0×Peer-reviewed utilization literatureMediumv1
ED visit reduction w/ active navigation (conservative)9%CMS Accountable Health Communities Model evaluationHighv1
ED visit reduction (expected)17%Published community-intervention literatureMediumv1
Average ED visit cost (default)$600AHRQ HCUP Statistical Brief #268 ($530, 2017), inflation-adjustedHighv1
HealthLink360 pilot outcomesComing v2Internal pilots, published as validatedGrowingv2+

Estimates are directional and derived from published evidence and stated assumptions; they are not a guarantee of revenue, savings, or clinical outcomes. Reimbursement varies by locality, payer mix, and billing practices, FQHC care-management billing transitioned to individual PFS codes effective 2025. Assumption Library v1, reviewed August 2026.

Why HealthLink360

Built to complement your stack, and to earn your community's trust

See the loop close on one of your own care gaps

In a 30-minute walkthrough, we'll take a real prevention opportunity, a produce prescription, a BP follow-up, a benefits renewal, and show you the passport, the activation, and the snapshot that returns to your EHR.

Book a walkthrough → Re-run the numbers