Nesso Health · ACO & Health Plan Estimate
What could stronger quality performance be worth?
The clinical engine is the same either way: treat the chronic patients you already see in the dental chair, move the diabetes and blood-pressure measures, and translate that into your program's dollars. Pick your program and enter your numbers.
Your population
Enrollees in the contract.
Share of the population Nesso's eight-condition model reaches.
Of that chronic group, the share treated through the dental touchpoint in year one. This is what drives the score lift — the more you treat, the more the measures move.
Assumption: ~$1,500 in projected annual medical-cost reduction per engaged chronic member, drawn from published periodontal cost-reduction studies. Deliberately conservative.
Your Star Rating
Derived from treating 20% of your chronic patients — not a number you guess.
Derived from treating 20% of your chronic patients — not a number you guess.
Model assumptions
Illustrative ceiling if 100% of chronic patients were treated. Actual movement depends on your measure mix & CMS cut points.
2026 avg for individual MA plans. Double-bonus counties run higher.
Illustrative ceiling if 100% of chronic patients were treated. Actual movement depends on your measure mix.
Annual Quality Bonus at 4.0★+
$3.8M / year
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The clinical engine behind it
Measures it strengthens
Measures Nesso strengthens
Kidney (dialysis) and osteoporosis (fractures) are the highest-cost tails — already inside the $1,500 engine above, not added on top. Nesso surfaces them earlier through the same diabetic and periodontal touchpoint; KED and OMW also feed your quality score. Osteoporosis is a screening/identification signal, not a treatment claim.
Engine: engaged chronic members × $1,500 avoidable medical cost (published periodontal cost-reduction). Score lift derived from treatment rate, capped by an illustrative ceiling. MA Quality Bonus: +5% benchmark at 4★+, 2026 avg values (KFF). MSSP: PY2026 quality gate = 40th percentile of MIPS Quality; sharing rates per CMS Final Rule. Measure links: HbA1c control, controlling high blood pressure, Kidney Health Evaluation (KED); Osteoporosis (OMW) surfaced by screening — identification only.