Any Partner Worth Signing Can Show You the ROI Model First

The strongest AI-enabled care partners can show you exactly how success will be measured before you’ve committed to anything.

Most partner pitches end with an ROI slide. It consists of a projection, built on assumptions nobody’s tested against your patient population, that only gets checked against reality after the contract is signed. By then, the KPIs that matter to your board are whatever the company decided to report, on whatever timeline suits them. 

The Community Oncology Alliance’s own evaluation framework treats this as a distinct category worth scrutinizing on its own: transparent pricing, ROI tied to measurable outcomes, and defined KPIs with shared accountability between practice and the company— not just performance metrics the they choose to publish. That’s a fair standard, and it’s the one health systems and community practices should hold every AI solution to, before signing. Here is how we answer it. Hold every company you are evaluating to the same test, including us. 

The KPIs that should be on the table before signature 

A defensible ROI model starts with metrics you can actually track from day one: engagement and enrollment rate, patient and provider experience, escalation-to-provider rate, avoidable ED utilization, and inbox message volume.  

At Reimagine Care, those aren’t projections. Rather, they’re numbers we report against continuously: fewer than 4% of encounters ever escalated, a 9-minute average response time when a clinician is needed, and a 33% reduction in clinical inbox messages for health system partners. Those are the kind of figures that should be demonstrable in a demo, not promised in a proposal. 

Shared accountability, not sales promises 

The harder standard is what happens after signing: a regular review cadence, KPIs owned jointly rather than reported one-sided, and a model built to be reassessed — not just renewed. That’s the difference between a vendor relationship and a genuine partnership, and it’s worth asking any company bringing AI into your practice to commit to before you’re locked into a contract. 

If you want to see the actual KPI model we’d put in front of your board (before any commitment) we’re glad to send it your way. No strings attached.

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