Leading organizations; exceptional accomplishments
Presbyterian Healthcare Services
Achieved remarkable revenue cycle performance improvements across its health plan and care delivery system by deploying revenue cycle and business analytics. They achieved big goals across both their payer and provider sides, driving $3.4M in value—equivalent to a 344% ROI and a nine-month payback on their investment.
Large California Payvider
This payvider had a wealth of data, but it was separated into varying data systems and departments, reducing its flexibility and effectiveness. With MedeAnalytics, this organization saw incredible reductions in turn-around-times, including an 80% reduction in TAT on ad-hoc reports for healthcare analysis and reporting. By combining clinical and claims data with the advanced analytic capabilities, they demonstrated the ability to solve some of healthcare's toughest challenges.
Nebraska Methodist deployed self-service analytics to generate the real-time insights necessary to increase efficiency and uncover improvement opportunities in the revenue cycle. With MedeAnalytics, they improved data management across the entire hospital system, reducing the denials rate by 11% and avoiding $12.9M in denials over three years.
Wise Health System
Partnering with MedeAnalytics, Wise Health System utilized real-time clinical and financial data to elevate performance and drive patient satisfaction. This included system-wide changes in revenue cycle management, organizational culture and customer care to make an impact, including a 34% increase in CMI, 19% reduction in unspecified code usage, and more.
Indiana Regional Medical Center with Baker Tilly
After deploying opportunity exploration by service line and DRG/procedure-level of detail, IRMC can now view comparisons against payers or like-services to identify actionable revenue insights. They are also able to drill-down to 835 and transaction detail in just a few clicks to discover root causes swiftly and simply. These innovations allowed IRMC to identify $600,000 of total variance in payments annually for one payer compared to top payers across three major service lines.
“We've improved efficiency, speed to insights, and staff efficiency. We've standardized reports across revenue cycle functions. We have embedded insights into operations and workflow. We have near real-time analysis and decision-making. When you add it up, the value generated from these MedeAnalytics solutions totals about $3.4 million—and this is just the beginning.”
- Soyal Momin, SVP, Chief Analytics Officer, Presbyterian Healthcare Services
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