CI-Cost Insights. Promote continuous improvement to elevate care and outcomes.

Cost Insights

Promote continuous improvement to elevate care and outcomes

Hospitals and health systems are strained from all angles with the pandemic decimating bottom lines. Protocols and pathways have failed to significantly reduce care variation—resulting in high levels of waste and unnecessary spending. Persistent inability to correlate treatment cost with quality of care has driven the cost of care delivery up without a measurable improvement in outcomes. If hospitals and health systems don’t take action to disrupt these ineffective processes, they will be in danger of bankruptcy within the next few years.

Delivering comprehensive solutions to lower your cost of care

Challenge
Solution

Ineffective data collection and analysis hinders ability to monitor, measure, analyze, and improve variances in modality utilization, procedures and supplies

Challenge
Solution

Lack of visibility into top and bottom performing service line and procedures.

 

 

 

Challenge
Solution

Limited integration capabilities with nationally accepted benchmarks and standards

 

 

Celebrating big wins with Cost Insights

IRMC saw $600,000 in potential additional reimbursement identified related to one payer

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.

IRMC saw $600,000 in potential additional reimbursement identified related to one payer

Dive deeper into Cost Insights

Download the data sheet to see how Cost Insights helps you identify and act on direct cost of care improvement opportunities.

Get our take on industry trends

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When I wrote about megatrends last year, the predictions were, naturally, forward-looking. Telehealth, for example, was important because of increased healthcare consumerism and the convergence of technologies to make its use quick and easy for payers, providers and patients.

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Measuring provider cost and utilization

January 19, 2021

No matter the time of year, payers and providers should work to agree on a shared source of truth when it comes to data. With the recent end of the year, it’s time to celebrate the new year (who isn’t ready to say goodbye to 2020?) and close the books, which includes the reconciliation of any shared savings or losses.

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Data visualization: A picture is worth a thousand…healthcare data points?

Data visualization: A picture is worth a thousand…healthcare data points?

January 12, 2021

The amount of data produced daily has grown exponentially with nearly 90% of the world’s data generated in the last two years alone. To ensure we can make sense of this data, analysts must find meaningful ways to present the information to their audiences.

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