← PM Suite Cost-Benefit Analysis

Enrollment & Claims Platform Modernization

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Recommendation: Approve. The program reaches positive discounted cash flow within its expected useful life (~7.5 years), and produces a positive 10-year NPV of approximately $1.93M at an 8% discount rate. Benefit realization ramps over the first two years (50% Year 1, 80% Year 2, 100% from Year 3) as change adoption matures.

Initial Investment
$7.062M
Annual Net Benefit (Steady State)
$1.58M
10-Yr Simple ROI
98.7%
10-Yr NPV @ 8%
$1.93M
Benefits

Quantified Annual Benefits (Full Realization)

CategoryAnnual ValueBasis
Labor Efficiency (Claims Processing)$1,200,000Reduced manual processing time from automation
Error / Rework Reduction$450,000Fewer claims errors and appeals
Compliance Risk Avoidance$300,000Risk-adjusted avoidance of regulatory penalty exposure
Legacy System Decommissioning Savings$380,000Retired legacy license/maintenance fees
Customer Retention / Satisfaction$200,000Faster claims turnaround reduces churn (conservative)
TOTAL ANNUAL BENEFIT$2,530,000
Costs

Cost Summary

CategoryAmount
One-Time Implementation Cost (Year 0)$7,062,000
Annual Ongoing Cost (Year 1+)$950,000 / year

Ongoing cost = Software Licensing ($180K) + Hosting/Infrastructure ($220K) + Vendor Maintenance ($150K) + Internal Support ($300K) + Enhancements ($100K). Full detail on the Costs Detail tab of the Excel workbook.

Cash Flow

10-Year Cash Flow & Payback

YearRealizationNet Cash FlowCumulative (Undiscounted)Cumulative (Discounted @ 8%)
0\u2014($7,062,000)($7,062,000)($7,062,000)
150%$315,000($6,747,000)($6,770,333)
280%$1,074,000($5,673,000)($5,849,551)
3100%$1,580,000($4,093,000)($4,595,296)
4100%$1,580,000($2,513,000)($3,433,949)
5100%$1,580,000($933,000)($2,358,628)
6100%$1,580,000$647,000($1,362,960)
7100%$1,580,000$2,227,000($441,045)
8100%$1,580,000$3,807,000$412,580
9100%$1,580,000$5,387,000$1,202,973
10100%$1,580,000$6,967,000$1,934,819

Undiscounted payback occurs between Year 5 and Year 6. Discounted payback (the more conservative measure) occurs between Year 7 and Year 8 — both comfortably within the platform's expected useful life.

Cross-Reference

How This Relates to the TCO

The Total Cost of Ownership analysis shows that this platform's 10-year TCO ($16.56M) is actually higher than the cost of simply maintaining the legacy system ($14.0M) — TCO alone does not justify modernization. This Cost-Benefit Analysis is what closes that gap: the quantified efficiency, risk, and retention benefits above ($2.53M/year at full realization) more than offset the incremental cost, producing a positive NPV. This is the correct way to read these two documents together — TCO answers "what will this cost," CBA answers "is it worth it."