Healthcare

HubSpot-Native Revenue Recovery Calculator for Medicaid

Agilian case study thumbnail
Company overview

Agilian is a boutique consulting firm that helps Medicaid Managed Care Organizations retain eligible members and recover lost revenue through data-driven risk targeting. 

Industry

Healthcare

Headquartered

Washington DC, US

Context

Picture a VP of Retention Operations at a mid-sized Medicaid plan, three slides into an Agilian deck. The numbers are real: one client held onto 200 members and $10 million in annualized revenue from a single sub-population; another kept 1,100 members and $33 million across its whole book. Impressive as they are, these numbers are not hers.

She's already doing the mental arithmetic, translating someone else's membership and someone else's PMPM into a number that might apply to her own plan, with no way to check her math before the call.

That gap — between a proof point that's true and a proof point that's hers — is where the sales conversation usually stalls. Agilian's value proposition is financial, but for a prospect skimming a case study, "financial" stays abstract until it's their own reimbursement data doing the talking.

RevX built a HubSpot-native calculator to close that gap at the point of first contact, before discovery, before a call is even booked.

Challenge

Strong proof points, but never the prospect's own. 
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Abstract at the top of the funnel
$10 million retained here, $33 million there, and a visitor still had to do the arithmetic to see whether either number applied to their own plan. 
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One friction level for two different audiences
Cold traffic wouldn't fill out a form for a tool it hadn't yet judged credible, while warmer campaign traffic was worth gating for a deeper estimate. 
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Qualification data going uncaptured
Member population and PMPM by eligibility category revealed plan size, acuity mix, and revenue at stake, but none of it reached a contact record until sales asked for it in discovery. 

Solution

One reinstatement model, delivered two ways — matched to how warm each audience already was. 
In the systems
Non-gated, for cold traffic
A visitor enters Total Member Population and Blended PMPM, clicks Calculate, and sees Annual Dollars Recovered before being asked for anything. 
In the systems
The ask comes after the number
An "Email My Results" modal opens with the prospect's own calculated figure already printed at the top, so the form is answering a number they've seen, not promising one. 
In the systems
Gated, for campaign traffic
A short capture form gives way to a segmented grid across MAGI, MLTSS, ABD, and SSI, each with its own Member Population and PMPM. 
In the systems
Depth that serves both sides
The segmented version returns an estimate built on the plan's actual acuity mix instead of an average, while Agilian gets a read on the plan's composition. 
In the systems
Built natively in HubSpot
Both configurations run as custom modules with no middleware, no external database, no third-party calculator SaaS. 
In the systems
Every submission lands on the contact record
The Forms API writes all eight population and PMPM values plus the calculated result straight to HubSpot, with calculator engagement firing as a behavioral event alongside page views and form submissions.

Impact

The sales conversation now opens at a number the prospect already trusts, because they calculated it themselves. 
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Personalized proof, before the first call
Prospects leave with a dollar figure built on their own membership and reimbursement data, so discovery starts at that number instead of building up to it. 
Sales Operations-1
Two funnel positions, both covered
The non-gated calculator turns cold-traffic intent that used to bounce into a name and email against a figure the visitor has already seen, while the gated version returns a fully segmented lead from warmer campaign traffic. 
Sales Operations-1
Submissions arrive pre-qualified
Plan size, acuity mix across four eligibility categories, and estimated revenue at stake sit on the contact record before sales ever picks up the phone.
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Attribution closes the loop
Calculator engagement is traceable in HubSpot reporting, so a booked meeting can be tied straight back to the estimate that started it. 

In Action

Agilian 1
Agilian 2
Agilian 3

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