Start with your team structure. Your capacity utilization score updates as you change the inputs.
Locations you cover
Full-time equivalents
New + renewals combined
—% UTILIZED
Capacity utilization
Enter your numbers to see your score
We benchmark against a reasonable load of roughly 160 enrollments per rep per month — the upper end of what a navigator can handle while still giving complex cases the time they need.
2
Where the hours go
Estimate the share of your monthly volume that falls into each workflow type, and the average time per case. The total hours update live.
Family enrollmentMultiple members, mixed eligibility
%
min
—
RedeterminationRenewal outreach + follow-up
%
min
—
Total monthly hours absorbed by enrollment work: — across your team
— FTE
3
Where automation pays off fastest
Based on your workflow mix, here's where automation would free up the most navigator hours first. Rank 1 is your highest-ROI place to start.
4
What 2027 will add to your team's load
Semi-annual redeterminations (Dec 2026) and Medicaid work requirements (Jan 2027) roughly double the touchpoints on your existing population. Here's what that looks like for you.
Today
—
Estimated monthly redetermination touchpoints at current policy cadence (annual reviews).
After 2027 changes
—
Semi-annual reviews + work requirement verifications, applied to your current population.
Pressure increase: the time to build the infrastructure to absorb this is before the wave arrives.
Share this with your COO or CEO
A snapshot of where your team is today, where the pressure is coming from, and where automation buys back the most capacity.
Capacity used
—
Hours / month
—
Top automation priority
—
2027 load increase
—
Enter your team's numbers above to generate your takeaway.
Ready to extend your team without adding headcount?