Clinical revenue capture infrastructure for senior living
Capture the Medicare reimbursement your facilities are forfeiting.
The 2026 CMS Final Rule put $140,000 to $300,000 of annual revenue on the table per 150-bed facility. Most operators cannot capture it because the infrastructure does not exist. Oricellis is the operating layer that captures it.
- Per facility annual benefit
- $140K to $300K
- Payback period
- 4 to 5 months
- Target operators
- 5 to 40 facilities
150-bed, post-2026 CMS
year 1, at full ramp
regional, Northeast and Mid-Atlantic
Why now
The 2026 CMS Final Rule reset the economics.
Source: CMS CY 2026 Physician Fee Schedule Final Rule.
RPM rates increased 7 to 21 percent. Contactless monitoring is now eligible. New CPT codes lowered the billing threshold. For a 150-bed facility, the RPM line alone is $90,000 to $180,000 per year, with comparable upside in CCM, Medicare Advantage outcomes, Medicaid waivers, and ACO REACH.
The infrastructure required to capture this revenue does not exist in roughly 70 percent of facilities. Cable internet, the de facto standard in senior living, has no SLA, no segmentation, and no failover. RPM device telemetry drops, billable encounters fail, the revenue stays uncollected.
The window is 24 to 36 months. Operators with the right infrastructure in 2026 book revenue their competitors cannot. Operators who wait until 2028 enter a market where competitors have already booked two years of new reimbursement.
The product
Not an MSP. Not a carrier. The operating layer.
Oricellis turns regulated reimbursement programs into captured revenue for operators who would otherwise leave it on the table. Connectivity is the wedge. Clinical revenue capture is the product. The platform thesis is the long-term defensibility.
01
Reliable connectivity
Fiber primary, 5G fixed wireless backup, sub-30-second failover. Built for clinical workloads, not resident streaming.
02
Clinical segmentation
HIPAA-aligned VLANs across nurse call, RPM devices, telehealth, and resident traffic. BAA signed with every operator.
03
Revenue capture
Network and workflow integration across RPM, CCM, BHI, TCM, PCM, Medicare Advantage outcomes, Medicaid waivers, and ACO REACH.
04
Managed operations
24/7 NOC, automated patching, monthly compliance reporting, and audit-ready documentation across the portfolio.
Pricing
Three tiers. Flat fee for service. AKS-safe.
We meet operators where they are. Flat managed services fee per facility plus per-monitored-patient PMPM fees, all at fair market value. No revenue share. No percentage of Medicare reimbursement.
Tier 1
Clinical Layer
$2,500
/ facility / month + PMPM
Operators with adequate existing connectivity they want to keep.
Clinical segmentation, RPM platform integration, billing infrastructure, workflow monitoring. ISP stays in place.
Implementation: $4,500 per facility.
Tier 2 · most common
Full Stack
$3,500
/ facility / month + PMPM
Operators ready to consolidate connectivity and IT under one accountable partner.
Fiber primary, 5G FWA backup, SD-WAN, managed firewall, Wi-Fi, 24/7 NOC, end-user support, plus the full clinical revenue capture stack.
Implementation: $8,500 per facility.
Tier 3
MSP Partnership
$3,500
/ facility / month + PMPM
Operators with strong existing MSP relationships they want to preserve.
Existing MSP becomes certified local delivery partner. Two contracts maintain AKS compliance. Roughly $400 / month flows to MSP at fair market value.
Implementation: $8,500 per facility.
PMPM service fees (apply to all tiers)
- RPM platform services
- $35 to $40 PMPM
- CCM, BHI, TCM, PCM
- $20 to $26 PMPM
- MA outcomes services
- $12 to $16 PMPM
- Medicaid and REACH
- $14 to $18 PMPM
- Platform and analytics
- $250 to $1,050 / facility / mo
Operator economics
$92K to $250K net to the operator, per facility, per year.
Per 150-bed facility, annual, at full ramp. Payback 4 to 5 months in year 1. Three-year cumulative net: $268K to $750K per facility.
Run the calculator with your bed count, occupancy, and chronic-condition mix.
Open the calculator →- Cost of Oricellis service
- about $48,000
- Medicare RPM revenue captured
- $90,000 to $180,000
- CCM, BHI, MA, Medicaid expansion
- $40,000 to $80,000
- IT consolidation savings
- $15,000 to $25,000
- Recovered staff productivity
- $10,000 to $20,000
- Total annual benefit
- $140K to $300K
- Net to operator
- $92K to $250K
FAQ
CFO and counsel questions, answered up front.
- How is pricing structured under the Anti-Kickback Statute?
- Flat fee for service plus per-monitored-patient PMPM fees, all set at fair market value. No compensation tied to the operator's Medicare reimbursement volume or value. This structure qualifies under the Personal Services and Management Contracts safe harbor (42 CFR 1001.952(d)).
- What if a facility already has fiber?
- Tier 1 keeps the existing circuit and layers clinical segmentation, RPM platform integration, and billing infrastructure on top. Tier 2 replaces the carrier when reliability or cost requires it.
- Which RPM platforms do you integrate with?
- CareSimple, HealthArc, Cadence, and the other clinical platform vendors used in senior living and skilled nursing. We partner with platform vendors, we do not compete with them.
- How long does deployment take?
- A single Tier 1 facility goes live in 30 to 45 days from site survey. A 10-facility Tier 2 rollout is typically operational within 90 days under a phased plan.
- What is the contract length?
- Standard term is 24 months with annual renewals. Pricing is held flat for the duration of the contract. Multi-facility commitments include volume pricing.
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