West Tennessee Healthcare: Applying the Power of Data Analytics to Reign in Billing Costs

Between 2008 and 2012, multispecialty practices saw their bad debt go up 14 percent according to a recent survey by the Medical Group Management Association. To curb this debt, many providers are now sending patients who don't pay their bills to collection agencies. While on the surface this seems like an efficient solution, it actually creates more of a billing backlog and negatively impacts the patient experience.

West Tennessee Healthcare is an organization that has taken an alternative route and has seen improvement in collect costs by implementing an in-house process through self-pay. The public, not-for-profit, four-hospital health system based in Jackson, TN implemented Mede’s Revenue Cycle and Self-Pay products to optimize cashflow and improve collections by bringing complex patient accounting data into a unified view. During a recent interview with HealthLeaders, Wade Wright, West Tennessee’s director for hospital billing, said:

“One of the biggest factors in this success is the use of analytics to better understand its patients and to target the right collection strategy to each subgroup…We are using data analytics to prioritize and segment our accounts using different criteria. For example, we can do an analysis of our accounts based on ability to pay or propensity to pay, and we have different methods for reaching out to those segments.”

Through its analysis, West Tennessee now knows that 55% of its self-pay patient population is at a low risk of not paying; 25% is at a medium risk; and 5.6% is at a high risk. Data for the remaining 14.4% is unavailable.

Read more about West Tennessee Healthcare’s success and tips for other providers in the HealthLeaders piece by Rene Letourneau.

MedeAnalytics

MedeAnalytics is a leader in healthcare analytics, providing innovative solutions that enable measurable impact for healthcare payers and providers. With the most advanced data orchestration in healthcare, payers and providers count on us to deliver actionable insights that improve financial, operational, and clinical outcomes. To date, we’ve helped uncover millions of dollars in savings annually.

Leave a Comment





Get our take on industry trends

Use SDOH + Analytics to power better outcomes for underserved population

Use SDOH + Analytics to power better outcomes for underserved population

May 11, 2021

Whether you’re a payer, provider or patient, on the front lines of care, sitting in front of a computer or receiving treatment, you’ve been affected by the pandemic. Of all the groups who participate in healthcare in one way or another, perhaps no single group has suffered more over the last year during the pandemic than the underserved— those people without ready access to needed healthcare services.

Read on...
Use data to take meaningful action this Nurses Week 

Go beyond recognition: Use data to take meaningful action this Nurses Week

May 10, 2021

Since 1994, America has observed National Nurses Week annually from May 6-12. This year more than ever before, it’s critical that healthcare organizations go beyond recognition and start taking action to more effectively support and serve nurses.

Read on...
The future of digital health part 4: Convergence of AI and analytics for healthcare payers

The future of digital health part 3: AI, machine learning and robotics

May 4, 2021

This post is part three of a new series featuring healthcare visionary and thought leader Andy Dé. In this series, Dé discusses how COVID-19 has triggered remarkable digital transformation and uncovers five, long-term innovation implications that providers, healthcare leaders, and payers need to consider.

Read on...
The future of digital health part 4: Convergence of AI and analytics for healthcare payers

The future of digital health part 2: Digital patient engagement and virtual healthcare delivery

April 27, 2021

Protecting the health, well-being and safety of healthcare practitioners and first responders is paramount — and will accelerate adoption of Digital Patient Engagement (DPE), enabled by Virtual Healthcare Delivery (VHD) solutions (also known as “Hospital at Home.)”

Read on...