All posts by Experian Health
The MongoDB Innovation Awards celebrate organizations building the world\'s most innovative applications, recognizing those with a transformative impact on their respective sectors. Recently, Experian Health was recognized for our innovation in healthcare. Our Universal Identity Manager (UIM), which integrates with MongoDB to accurately sequence patient data, can accurately match, manage and protect patient identity. Drawing on more than 40 years of experience managing identities across various industries, Experian Health’s interoperable patient identification solution leverages consumer credit data to improve record quality. Our UIM creates a unique, universal patient identifier to identify patients and link their records to allow entities (pharmacy, lab, payer, and provider) with disparate databases, systems, and data formats to share a single view of the same patient. Accurate and complete information is securely exchanged, minimizing medical and billing errors, and fraud. “We leverage MongoDB to deliver UIM information in real-time – and that makes performance critical,” said Michael Ochs, chief technology officer of Experian Health. “If patient data is delivered out of sequence, it can create multiple issues in the delivery and accuracy of patient information. This technology makes the interoperability and exchange of information across the healthcare ecosystem is an achievable goal. With UIM, it is possible to successfully address problems caused by data integration challenges and fluid patient data.” Our consumer demographic information combined with reference data and referential matching methodologies allow the UIM to achieve higher matching rates and mitigate matching challenges associated with data quality. “We encourage health organizations to adopt universal patient identifiers because there is a well-documented need for it – the absence of which poses both business and safety issues,” said Jennifer Schulz, group president of Experian Health. “Our UIM batch product is being offered to organizations at no charge* to provide a universal patient identifier that will help address the complexities of managing patient identification by identifying consumers in the healthcare ecosystem more accurately.” Michael accepted the award on behalf of Experian Health at the annual MongoDB World event in Chicago on June 21, where he joined 13 other innovative companies being awarded in different categories. This award for Experian Health comes shortly after being recognized in the healthcare industry by Healthcare Informatics as no. 45 on the list of “Top 100 Companies by Revenue.” *Offer is limited to Experian Health’s UIM Batch Process product and shall remain open for such time as Experian Health may decide.
Reimbursement pressures and the real potential of changing regulations require that revenue cycle leaders leverage data and technology to be as efficient and nimble as possible to maximize net revenue, reduce denials, and lower operating costs. Shifting reimbursement models, complex benefit designs and limitations, increased patient responsibility, and growing regulatory pressures are driving near-constant change in the healthcare revenue cycle. Healthcare organizations that used to be paid by the encounter are adapting to emerging trends of also being selected, measured, and paid for how they perform and collaborate with other providers to improve outcomes. This value versus volume movement has forced hospitals, physicians, and other providers to focus on delivering high-quality, collaborative care at a lower cost while enhancing the patient experience, including efficiency and patient sensitivity in the revenue cycle. Experian Health’s Revenue Cycle Analytics provides visibility across the revenue cycle continuum, transforming operational and financial information into actionable insights. By tapping into Experian Health’s vast product workflow data and revenue cycle transactions, you can hone in to optimize specific workflows and compare your facility’s operations and processes against industry peers to make more informed business outcomes. Relevant data is presented for users based on responsibilities. With your internal data, we can Improve your workflows, operational performance, and financial results by leveraging your data across the revenue cycle, matching it, and analyzing the account across the various revenue cycle workflows and transactions Ensure accurate reimbursement by analyzing workflows and optimizing activities Create and monitor revenue cycle KPIs around pre-service, point-of-service, post service, denials, etc. to provide data points needed for process and financial optimization Provide comparative analysis and benchmarking that scores payer performance based on claim, rejections, denials, and exceptions Identify trends by drilling down to the staff, department, and service levels to uncover insightful details Maximize return on investment in Experian Health revenue cycle management products Enable the calculations of HFMA Map Keys and NAHAM Access keys for true peer-to-peer benchmarking With decades of Big Data experience, and as experts in gathering and securely managing huge quantities of data, Experian Health’s Revenue Cycle Analytics manages an unrivalled breadth and depth of data to help clients gain a deep understanding of people, businesses, places, economics, and health.
Yale New Haven Health (YNHH) established a goal to elevate the patient financial experience by compassionately educating patients about the finances surrounding their care, and educating staff on the tools and methods for delivering that message. YNHH embarked on a two-year patient financial advisory initiative, including patient and family advisors, to hear opinions and learn valuable information directly from consumers. According to Sharlene Seidman, Executive Director Corporate Business Services, with Yale New Haven Health: “We needed a consumer-focused price transparency strategy that would bring us on par with other industries, like retail. Our goal was that when patients discuss their overall YNHH experience, it is not just reflective of their clinical care, but their financial care as well.” Since going live with Eligibility and the Epic integration in May 2016, YNHH has made major strides toward meeting its pre-service excellence goals in four key areas 1) the right technology, 2) best practices, 3) patient interaction/engagement, and 4) employee culture and education. Read the full case study here
Consumers have come to expect the ability to check things off their to do list while online, like booking travel, shopping, etc., so it only makes sense for healthcare organizations to empower patients to schedule their medical appointments online, too. Not only is it easy and convenient for them, but it also saves your staff time. With today’s focus on value-based care, providers must ensure patients follow through with orders for care. Typically, over one-third of patients receive an order, but 20% never schedule a visit, putting their health—and your organization’s reimbursement levels—at risk. Using an online scheduling platform enables patients to schedule appointments online—improving patient access by fostering the integration and communication to make sure both patients and providers have a better care experience. Experian Health’s Patient Schedule is an online, data-driven scheduling platform that enables patients to schedule their appointments online. Patient Schedule helps you ensure patients are being scheduled for follow-up into your network, automates scheduling workflows with business rules to enable you to define appointment criteria, and even integrates in real-time with your practice management system and electronic medical records. If you’re ready to upgrade the patient experience, improve completion rates, optimize capacity, outcomes and practice performance, acquire new patients and keep them engaged, save time by enabling call-center agents to schedule directly into referral providers’ systems and improve staff efficiency and optimize provider calendars, find out more about Patient Schedule. Read our press release: Experian Health and MyHealthDirect team up to improve practice workflow with cloud-based patient scheduling across healthcare networks On Demand NAHAM-hosted Webinar: \"You Can Book Flights Online – Why Not Medical Appointments?
Look forward to a better bottom line—and increased patient satisfaction Many providers face a of lack insight into agent performance and call durations, as well as the ability to route telephone calls to representatives based on experience or inquiry type. Others use manual vs. automated processes to call patients with outstanding balances. Having the ability to both contact patients and take inbound calls using a cloud-based dialing platform can significantly increase your collections and penetration rates. Some platforms can even provide the ability to monitor agent activity for performance and take payments after hours when no live agents are available, and provide access to actionable insight into call volumes and durations, giving you the ability to make more strategic decisions and adjust process flows. Increase the effectiveness of your collection and patient engagement strategies by pairing online and print communication channels using outbound and inbound dialing technology. Experian Health’s new cloud-based dialing solution, PatientDial, arms providers with the tools and data needed to make strategic decisions and increase calling campaign effectiveness and the collections bottom line—all without the need for costly hardware and software upgrades. PatientDial assists with patient outreach for patient collections and patient engagement processes and workflows. Services include inbound, outbound and blended call environments and can accommodate both live agent and blaster (unattended) messaging campaigns. IVR services are available to route calls to the proper type of agents and handle payments after hours. When combined with our PaymentSafe solution, PatientDial enables patients to make automated payments via telephone, and combining with our Collections Optimization Manager solution further increases ROI by leveraging screening results and segmentation to drive strategy solutions. Learn more about PatientDial Read the Sanford Health case study
Multi-specialty, academic, non-profit healthcare delivery system increases productivity and improves resource efficiency The prior and pre-authorization inquiry and submission processes within patient access can be challenging for healthcare providers, as it’s often manual, cumbersome, and steps within the process can be missed or poorly integrated—frustrating both staff and patients. Experian Health’s Authorizations helped one of its healthcare delivery system clients increase efficiency and empower staff to spend more time with patients to discuss estimated liability and financial responsibility and provide them with payment plan options. “We needed an authorization solution that was integrated within our Epic workflow, easy-to-use and that our team could rally behind. We found that solution in Experian Health’s Authorizations tool.” —Director, Pre-service Center, multi-specialty, academic non-profit healthcare delivery system Inquiries are now automated and take place behind the scenes without user intervention. Submissions guide the user through the workflow, auto-filling all payer data and only prompting the user only when manual intervention is required. Hear more about this client’s success using Authorizations. Read the full case study.
During HIMSS17 in Orlando, Jason Wallis, Senior Vice President, Patient Access at Experian Health, sat down with IntrepidNOW to talk patient access and how Experian Health\'s solutions help providers across the revenue cycle. Excerpt below: \"We have the eCare NEXT platform that drives a lot of our integration and patient access products. So anywhere from orders, all the way back to collecting payment from the patients, so right identity, checking eligibility, authorizations, medical necessity, patient estimates and then a tool to collect payment from that patient for those estimates. ...we’ve really taken this eligibility rail that has been pretty standard in the industry, and we’ve added a lot of content and innovation on top of those rails. So I almost call our clearing house a content network. So we drive more value in that transaction by normalizing, cleaning the data and enriching it with other data assets, so that downstream our clients and our products are better because of that advanced content. ...our integrated platform takes this data and be able to start chaining products together, and deliver back to the provider an exception based workflow that really has their staff only looking and working when something’s gone wrong. And the more we can automate around products and even products chaining off of other products, so eligibility to notice of admission, we are able to remove some of those manual single point solutions because it’s integrated in a single workflow.\" Listen to the full podcast Learn more about Experian Health\'s patient access solutions and eCare NEXT platform
Phillip Scott of NCPDP attended HIMSS17 and took some time to chat with IntrepidNOW about NCPDP\'s strategic alliance with Experian Health and the benefits of a universal patient identifier. Below is an excerpt from that interview. \"Well, I have to say with NCPDP’s reputation of neutrality is it’s been a key to our business, our business model. We bring all parties to the table. It’s big in collaboration and all of our standards and best practices come from a consensus building environment. Well, having said that, we have been looking for some time at a relationship that could create a unique patient identifier, at least our version of what that would be. We vetted a number of different companies and actually started working on this in 2013. The good fortune brought us in touch with Experian [Health], and we come together nicely, culturally. We both spent a tremendous amount of effort working for the common good, and the solution that Experian [Health] brought to our vision for what a unique identifier was made for a great opportunity there, and we’ve been very excited about that offering. That UPI, that universal patient identity, would go to that number and when they marry my prescription or my pharmacy benefits to my medical benefits. Then it can move over and move out of pharmacy and over into the health systems. So not only is it great service, it’s just fun to think about it. So our effort gives you 2 versions of a flavor, we as an American consumers are all about instant gratification, right? So this gives you instant gratification because Experian [Health]\'s identifying the numbers and identifying those patients uniquely, and sending it back to you, that is an instant gratification.\" Listen to the full podcast Learn more about Experian Health\'s Universal Identity Manager solution
During HIMSS17, Experian Health\'s Nicole Rogas, Senior Vice President of Sales, sat down with IntrepidNOW to discuss the healthcare industry, challenges providers are facing and women in health IT. Excerpt below. \"...it’s an industry that changes consistently, and Experian Health has the data and the history to be able to arm both our clients, which our providers, and the consumer, which is the patient, with information to help them make better healthcare decisions. We are hearing more about it in IT and as well as other areas of healthcare really nationally. Women do play a very important role in the future of healthcare, and I think the focus on it now brings to light some of the sort of special issues and challenges we face as women that are very different than what man may face as they grow their career. ...a lot of the challenges for our providers is to understand how to function as a business, and I know that that might sound crazy, but healthcare is always been a service, and most of our economies today, most of our people today believe that it’s really their right to (have) healthcare, and I think what’s happening is our healthcare providers are having to function more like a business organization to ensure that they are providing care at really great quality care, but in an efficient way. They are able to build and get reimbursed for that care, and then that they are able to arm their patients with the right information pre and post care to help keep them engaged in both their financial and their clinical journey. So I just think it’s a big time in our industry.\" Listen to the full podcast
