Case Studies

MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes.
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Blue Shield of California Heightens Provider Engagement with MedeAnalytics’ Medical Management Analytics

Tasked with the responsibility of ensuring its members receive quality healthcare while managing costs, Blue Shield of California (BSC) uses MedeAnalytics’ Medical Management Analytics to improve collaboration and engagement with providers. (Medical Management Analytics)

The AQ Journey: Business Analytics at MedeAnalytics

"For us, analytics is all about empowerment," says Dr. Mould. "We empower our customers to ask sophisticated, important questions and receive answers that help drive their business. Within our own walls, we see people using the platform to make real change. They can abandon the task of inputting data manually and spend their time more productively, really digging into the data for insights that will help us and our customers." (Chief Information Officer)

Optimized Data Reduces Healthcare Costs

Intel® Xeon® processor 5600 series helps MedeAnalytics deliver performance management solutions to physicians, hospitals, and insurance companies (Chief Information Officer)

Operational Transparency Reduces Medical Expense

Blue Shield of California has seen a significant improvement in provider relations, decrease in administrative costs and reduction in contractual trend through the implementation of Operational Transparency, a solution provided by MedeAnalytics, a leading provider of healthcare performance management solutions. (Operational Transparency, Payer Provider Collaboration)

Wheaton Franciscan Healthcare Reduces Accounts Receivable Aging by 3 Percent with MedeAnalytics' Revenue Cycle Intelligence

In the face of growing patient financial obligations, tighter regulations and rising unemployment, Wheaton Franciscan Healthcare uses MedeAnalytics' Revenue Cycle Intelligence to intelligently manage accounts receivable (AR) while also gaining confidence in its data and reducing AR aging.
(Revenue Cycle Intelligence, Hospital-Physician Revenue Cycle Intelligence)

Simi Valley Hospital Reduces Cost to Collect to 4 Percent with MedeAnalytics' Revenue Cycle Intelligence

In the face of rising patient responsibilities and an increasing number of self-pay accounts, Simi Valley Hospital uses MedeAnalytics' Revenue Cycle Intelligence to reduce the cost to collect while also improving patient satisfaction. (Revenue Cycle Intelligence, Hospital-Physician Revenue Cycle Intelligence)

Simi Valley Hospital Reaches 135 Percent of Point-of-Service Cash Collections Goal with MedeAnalytics' Patient Access Intelligence

Notwithstanding decreased reimbursement rates and rising patient responsibilities, Simi Valley Hospital has increased point-of-service cash collections while improving patient satisfaction, thanks to MedeAnalytics' Patient Access Intelligence solution. (Patient Access Intelligence, Patient Access)

Executive Brief: "Engaging Physicians through Analytics and Identification: Coaching Physician Champions"

Post-presentation executive brief from HFMA ANI 2009 – The Healthcare Conference, presented by: Richard Boehler, M.D., Chief Medical Officer, St. Joseph Medical Center, Towson, Maryland and Terry L. Fouts, M.D., Chief Medical Officer, MedeAnalytics. (Clinical Performance Manager)

MedeAnalytics and Microsoft Software-plus-Services ISV Solution Success Story

A Microsoft Case Study: MedeAnalytics Experiences Rapid Growth with Compelling Software-as-a-Service Solution for the Healthcare Industry (Chief Information Officer)

Helping Hospitals Capture More Revenue

MedeAnalytics employs IBM® SPSS® Modeler to help prioritize providers' collection efforts
(Chief Information Officer)

  • "BancorpSouth Insurance selected MedeAnalytics as a partner to utilize its web-based interactive reporting solution to enhance our client experience and improve employee benefit plan performance. The drill-down capabilities and overall solutions will help our employee benefit consultants better analyze and identify their clients’ medical and pharmacy expenses to improve both cost and quality."

    - Ginger Campbell

    VP, Health Benefit Analytics and Pharmacy Consulting

    BancorpSouth Insurance

  • "MedeAnalytics helps us identify emerging trends and issues impacting our membership and network providers. The solutions support the Alliance in managing member care and provide us with the ability to adapt and change in the future as our membership grows."

    - Ingrid Lamirault

    Chief Executive Officer

    Alameda Alliance for Health

  • "MedeAnalytics has a proven track record with BHS. The analytics solutions and added value of MedeAnalytics' experienced client team quickly helped me reach my initial goal of reducing AR days. In addition we've reduced bad debt and improved our clean claim rate. Since implementation the return with MedeAnalytics has been swift and sustainable. I look forward to the same success in improving our reserve process across the BHS facilities."

    - Janice Ridling

    VP, Revenue Management

    Baptist Health System

  • "MedeAnalytics has had the great foresight of being able to see that this vision of clinical and financial measurement was going to occur…and is now very well positioned to succeed in healthcare in the decade ahead."

    - James B. Couch, M.D., J.D. FACPE

    Managing Partner and Chief Medical Officer

    Patient Safety Solutions, LLC

  • "The MedeAnalytics compliance solution provides desktop analysis of inpatient and outpatient data, utilizing actual claims data submitted to payers. The potential for useful compliance queries is unlimited and will continue to help with our RAC and other compliance risk assessments in the future."

    - Patricia Puckett

    Director of Compliance

    West Tennessee Healthcare

  • "The customer service we receive is just superb. They aren’t just selling a solution. They are selling a solution with service."

    - Jon Giese

    Chief Financial Officer

    Simi Valley Hospital, Adventist Health

  • "MedeAnalytics' advanced analytics and their short implementation schedule gave us a kick start to the value that the MedeAnalytics application provides."

    - Terry Conrad

    Chief Financial Officer

    St. Vincent Health System

  • "When we first researched analytics solutions and their capabilities, MedeAnalytics was the obvious choice. There’s just no comparison."

    - Michelle Jones

    Director of Patient Financial Services

    Wheaton Franciscan Healthcare

  • "MedeAnalytics' software as a service analytics platform provides our health system the ability to better manage our revenue cycle with readily available, enterprise-wide financial data."

    - Gary J. Borgstede

    System Vice President of Finance

    Oschner Health System

  • "One of the greatest impacts has been the use of a single platform of information for individuals, teams, management and across departments that has created a collaborative effort in managing the revenue cycle."

    - Kelly Turner

    Chief Financial Officer

    Glendale Adventist Medical Center

  • "MedeAnalytics is the one solution that enables us to balance the constant challenges of providing quality patient care while managing our bottom-line."

    - Domenic Segalla

    Chief Financial Officer

    Newark Beth Israel Medical Center

  • "MedeAnalytics enables us to identify and quickly focus efforts to collaboratively improve medical management by screening trends in cost drivers and performing drill downs to identify and address root causes."

    - Meredith Mathews, M.D.

    SVP and CMO Blue Shield of California

     

  • "The MedeAnalytics solution allowed our team to quickly implement work lists which have resulted in improved cash collections. We are confident that with MedeAnalytics' analytics we will continue to see improvements in our revenue cycle and registration areas."

    - Julie Carpenter

    Administrative Director of Revenue Cycle

    St. Vincent Health System

  • "POET [Blue Shield of California’s name for MedeAnalytics’ Operational Transparency solution] represents a smarter way of doing business. Since hospital contracting executives can now see all the data sharing and collaborative work that happens, we no longer have as much finger-pointing over claims disputes."

    - Juan Davila

    SVP, Network Management

    Blue Shield of California

  • "I am extremely impressed and pleased with MedeAnalytics' smooth implementation and the fact we are live and operational within 45 days of signing the contract agreement."

    - Terry Conrad

    Chief Financial Officer

    St. Vincent Health System