A recurring theme here on our blog is discussing the powerful effects a culture of analytics can have on hospitals and health systems. In this post, see how Wise Health System used MedeAnalytics solutions to cultivate this type of culture – leading to improved revenue cycle management and enhanced customer care.
The Challenge
Large, Texas-based organization Wise Health System was looking out at massive chasms between various operations strategies, multiple IT systems, and disconnected processes and people. Rather than continue to execute a piecemeal approach to decision-making, Wise aspired to build a culture driven by data and analytics.
In doing so, Wise leadership hoped to empower their staff to accomplish significant clinical quality improvement, enhance work flow and collaboration between and within financial and clinical teams, integrate technology more effectively, and improve clinical documentation practices.
The Solution
With MedeAnalytics Revenue Cycle Management, Wise Health System created efficiencies in patient access, mid-cycle processes, and business office functions. These improvements included:
- Real-time analytics to improve point-of-service collections
- Opportunities to improve revenue capture, minimize audit risk and succeed with ICD-10
- Identification of black holes, bottleneck and outliers to improve cash flow and collections
- Self-service dashboards and reports providing visibility into A/R and denials
These meaningful shifts brought about remarkable operational value and clinical outcomes. Beyond that, a shared source of data and insights allowed various teams and sites of care to work together more seamlessly for the benefit of the patient.
Measurable Impact
- 34.7% Increase in Case Mix Index
- 11% Improvement in Patient Satisfaction Scores
- 26% Reduction in readmission rates for heart failure
- 129.2% Improvement in CC/MCC Capture Rate
“The analytics and insights-driven collaborative culture has enabled us to grow, evolve and make Wise Health System a great place to work.” – Lynn Giddens-Branscum, Vice President of Revenue Cycle Management and Audits
Get our take on industry trends
Why Health Plans and Employers Need Stop Loss Reporting
Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.
Read on...Bridge the Payer/Provider Data Gap
Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…
Read on...Digging deeper: Leveraging analytics to boost service line profitability
Regardless of the size of the hospital or health system, you need to look beyond traditional operational metrics to fully understand your organization’s performance. Insights into revenue, volume, cost, quality and variation across service lines are key to improving both performance and profitability.
Read on...