See your book's wound exposure. Starting with the limbs at risk.
Enter a few facts about your covered population. We model the chronic-wound and skin-substitute exposure sitting inside it — and, first, the limbs your members could lose this year if the wound is left unmanaged. Every assumption is shown and cited. Change any of them.
A modeled estimate from your inputs, not a quote. The human number leads. The dollars come last.
In a book like yours, roughly 410 members could face a major amputation this year — if the wound is left unmanaged.
Modeled from 12,500 members with a diabetic foot ulcer in your book, at the amputation rate we show below. These are people, not line items — and the rate is not evenly distributed.
Five years after a major diabetic-foot amputation, more than half of patients are gone. That mortality is worse than breast, prostate, and colorectal cancer and the all-cancer average.6 This is why the limb leads — the limb is the life.
Your own wound & skin-substitute exposure
The skin substitute is the trigger, not the prize — but it's the loudest, fastest-running line. Here is the slice of it that your book is carrying, modeled from the assumptions below.
Right care up. Wasteful grafts down. Limbs kept.
A managed wound benefit adds the care that preserves a limb and removes the care that only ran up the bill. These are the directional levers — the outcomes move first; the savings are the consequence, stated last.
Home-nurse monitoring — the Tuesday visit that catches the infection before it reaches bone. The actual mechanism of keeping a limb.
The vascular gate, offloading, the right antibiotic — no graft on a limb with no blood supply; a DFU under pressure or on a high A1c does not close.
Over-grafting — which product, which wound, how many applications, how large a graft. The coverage side CMS left unguarded.
Avoidable amputations, ED visits, and admissions — the bulk of the real burden, stepped down as the wound closes at home.
Closure goes up. Limbs are kept. And the spend you saw above is the line that moves last — the quiet consequence of getting the care right, never the headline.
The assumptions behind these numbers
Every figure above is modeled from your inputs and the benchmarks below. Each is labeled and cited. Adjust any of them and the results recompute live — this is your model, not ours.
There is no public dataset sizing non-FFS skin-substitute spend, so any commercial or Medicaid figure here is modeled — prevalence by payer × application rate × per-member cost — and presented as an estimate, never as a published fact.8
This chart books the meeting.
The full diagnostic runs your actual claims feed against the closure registry and returns a plan-specific limb-preservation and exposure read. It needs no network to produce — only a conversation.
We open with limb preservation. We close with limbs kept. The savings are real, and they come last.