Healthcare insurance coverage is a necessity in the U.S. but it’s a complex system to navigate for both providers and patients. At Experian Health, we aim to simplify the administrative and operational sides of healthcare so improving the registration and insurance identification process for providers within the patient access workflow is an important problem we want to help solve. With a myriad of insurers, plans and benefits coverage, along with complexities like multiple levels of coverage some individuals may have, providers have a tough task trying to coalesce all the right information when a patient registers for care in real time – so the searching and querying is often pushed out beyond the registration desk, creating manual rework, denied claims and delays in reimbursements. This downstream impact has been a huge pain point with claims denials contributing to hospitals and medical practices losing more than $200 billion dollars in lost revenue per year. A rejection not only impacts the provider but the patient too. If inaccurate information is submitted to a payer and the claim gets denied, providers don’t get reimbursed and patients could receive bills that they may not be able to pay. We believe technology is the answer to solve many administrative challenges, which led us to acquire Wave HDC, a healthcare company that can deliver a real-time response. Identifying insurance coverage and benefits is a piece to the overall claims puzzle and this workflow has been ripe for improvement with better software. We believe we can now deliver the best solution in the market with this integration. What is Wave HDC’s expertise? Their AI-powered healthcare data curation solutions utilize an “if-then” logic, returning multiple data points required for accurate patient billing from a single inquiry, in real-time (30-45 second processing time), during the registration process. This innovation is a major step forward. No longer is a single response efficient as it pertains to uncovering a patient’s eligibility, coordination of benefits, insurance coverage and beyond. Our acquisition of Wave HHDC transforms the outdated clearinghouse model and will deliver immense benefits to our healthcare providers in the form of more accurate claim submissions and higher reimbursement rates, while also reducing manual work on their administrative teams. In fact, Wave HDC has prevented denials for its clients of over $1 billion dollars since 2020. Reducing claims denials will have a major impact on providers as the industry faces many headwinds including inflation, complex regulations, and constantly changing payer rules that may hurt their financial stability. The issue is only getting worse; a 2022 Experian Health survey revealed that 42 percent of respondents see claims denials increasing and that uptick is between 10-15 percent according to a third of respondents. Additionally, 3 out of 4 survey respondents say reducing denials is the highest priority. We are very excited to tackle this pain point with an advanced solution and welcome the Wave HDC team and these additional capabilities to Experian Health. For more information about Experian Health, visit experian.com/health.
Early in my career, I gained a lot of knowledge about credit. But when I moved to the United States from Brazil, establishing credit was a challenge. I worked part-time in a credit card company call center during college. I come from a humble family, and through helping customers, I learned the ins and outs about credit and money management. But all the solid credit history I built up in my home country didn’t transfer to the U.S. When I immigrated, I had to pay upfront for everything from utilities to a cellphone and it made me feel at a disadvantage. Thanks to Experian Boost®i, our feature that allows you to build credit without debt, and responsible management of debt, my FICO® Scoreii quickly rose to reflect my true creditworthiness. But I’ll never forget how it felt to be invisible when it came to the credit system. Being seen is the first step to equitable access to financial tools. Now that Experian conveniently offers Experian credit reports in Spanish onlineiii, consumers who prefer to access information in Spanish will be able to directly comprehend their credit profile so they can feel empowered. Understanding your credit report is a critical component for your ability to make informed decisions about your finances. As the executive sponsor of our Juntos Employee Resource Group (ERG) and someone who was new to credit in the U.S., I know first-hand that being seen is the first step in a journey towards financial wellness. To help you be informed, Experian also has a Spanish-language credit e-book and articles at the Ask Experian blog. Learn more about my financial health journey and my colleague's through #ExperianStories. i Results will vary. Not all payments are boost-eligible. Some users may not receive an improved score or approval odds. Not all lenders use Experian credit files, and not all lenders use scores impacted by Experian Boost®. Learn more. ii Credit score calculated based on FICO® Score 8 model. Your lender or insurer may use a different FICO® Score than FICO® Score 8, or another type of credit score altogether. Learn more. iii Only Experian credit reports are available in Spanish. All other services associated with an Experian membership are available in English only. English fluency is required for full access to Experian’s products.
Ball pits, a video game and a neon-pink house might not be what typically comes to mind when you think of our mission of financial inclusion. But that’s some of the ways Experian spent its summer sharing resources and information to empower underserved communities. FINANCIAL INCLUSION AND INNOVATION The mild weather ushered-in summer early in the City of Brotherly Love, where we joined the Allen Iverson Roundball Classic to launch B.A.L.L. (Be A Legacy Leader) for Life. It was our second year as the exclusive financial literacy partner. In partnership with the National Urban League, we introduced this program to the athletes and their families participating in the all-star weekend. We also created a gamified app that enables users to shoot hoops using gesture controls as they learn about credit and financial tools. Experian’s partnership with UnidosUS includes support for its Financial Empowerment Network (FEN), a program, which offers free, individualized, culturally-relevant support to Latino families. Our colleagues shared credit education resources and their journeys to financial health at the national conference. We are… financially fierce! As a proud sustaining Titanium partner of Out & Equal, we brought The House of Experian to this year’s Workplace Summit. Hundreds visited the eye-catching attraction to learn about financial and credit tools. We also led engaging conversations about money matters for the trans community and dove deep into the financial wellness of LGBTQ+ consumers and entrepreneurs. To learn more about the gaps and needs of the community, we’ve launched a financial wellness survey in partnership with Out & Equal. COMMUNITY ADVOCACY The mental health and wellness of our teammates is a priority for Experian, and it was a big topic of panel discussions at the Disability:IN Annual Conference. Empowering Asian American and Pacific Islander (AAPI) professionals is the focus of the annual Ascend Leadership Convention. This year’s theme was “I Ascend,” encouraging participants to share how they navigate and succeed in their careers. At Essence Fest’s National Urban League Women’s Empowerment Luncheon, Victoria Crain, Experian’s vice president of global compliance and governance and co-executive sponsor of our Black Professionals Employee Resource Group, shared keynote remarks about courage and legacy. EMPOWERING THE NEXT GENERATION Building paths towards generational wealth took center stage at the National Urban League Annual Conference. We led a conversation with multigenerational influencers and financial experts on money matters from personal and entrepreneurial lenses, and brought the B.A.L.L. for Life experience to the community. Our support for entrepreneurship extends to the Women of Color and Capital, where we were a returning sponsor and joined a discussion about financial solutions for small business owners. HomeFree-USA closed out our summer by honoring Experian with the 2023 Trailblazer Award and the 2023 CFA Partner of the Year Award. Our innovative program, launched in 2022 in partnership with the Center for Advancement (CFA), trained 250 scholars from Historically Black Colleges and Universities to become knowledge ambassadors about credit, and share what they’ve learned in the program with peers and family. Through events like these, we aim to normalize conversations about credit and make it easier for consumers to access the tools they need for their financial wellness. We are already looking forward to Summer 2024. To learn more about how Experian supports diverse communities, check out www.experian.com/deievents.
Today, we stand at the forefront of a digital revolution that is reshaping the financial services industry. And, against this backdrop, financial institutions are at vastly different levels of maturity; the world’s biggest banks are managing large-scale infrastructure migrations and making significant investments in AI while regional banks and credit unions are putting plans in place for modernization strategies, and fintechs are purpose-built and cloud native. To explore this more, I recently had the privilege of attending the annual Reuters NEXT live event in New York City. The event gathers globally recognized leaders across business, finance, technology, and government to tackle some of today’s most pressing issues. On the World Stage, I joined Del Irani, a talented anchor and broadcast journalist, to discuss the future of lending and the pivotal role of data and AI in building a more inclusive financial system. Improving financial access Our discussion highlighted the lack of access to traditional financial systems, and the impact it has on nearly 100 million people in North America alone. Globally, the problem affects over one billion people. These people, who are credit invisible, unscoreable, or have subprime credit scores, are unable to secure everyday financial products that many of us take for granted. What many don’t realize is, this is not a fringe subset of the population. Most of us, myself included, know someone who has faced the challenges of financial exclusion. Everyday Americans, including young people who are just starting out, new immigrants and people from diverse communities, often lack access to mainstream financial products. We discussed how traditional lending has a limited view of a consumer. Like looking through a keyhole, the lender’s understanding of the person in view is often incomplete and obstructed. However, with expanded data, technology, and advanced analytics, there is an opportunity to better understand the whole person, and as a result have a more inclusive financial system. At Experian, we have a unique ability to connect the power of traditional credit with alternative data, bringing a more holistic understanding of consumers and their behaviors. We are dedicated to leveraging our rich history in data and our expertise in technology to create the future of credit and ultimately bring financial power to everyone. The future of lending After spending two days with over 700 industry leaders from around the world, one thing is abundantly clear: much like the early days of the internet, today, we are at the cutting-edge of a technical revolution. Reflecting on my time at Reuters NEXT, I am particularly excited by the collective commitment to drive innovative, and smarter ways of working. We are only beginning to scratch the surface of how data and technology can transform financial services, and Experian is positioned to play a significant role. As we look to the future, I am excited about the ways we will create new opportunities for businesses and consumers alike.
The advertising ecosystem has seen significant transformation over the past few years, with increased privacy regulation, changes in available signals, and the rise of channels like connected TV and retail media. These changes are impacting the way that consumers interact with brands and how brands understand and continue to deliver relevant messages to consumers with precision. Experian has been helping marketers navigate these changes, and as a result, our marketing data and identity solutions underpin much of today’s advertising industry. We’re committed to empowering marketers and agencies to understand and reach their target audiences, across all channels. Today, we are excited to announce our acquisition of Audigent—a leading data and activation platform in the advertising industry. With Audigent’s combination of first-party publisher data, inventory and deep supply-side distribution relationships, publishers, big and small, can empower marketers to better understand their customers, expand the reach of their target audiences and activate those audiences across the most impactful inventory. I am excited to bring together Audigent’s supply-side network as a natural extension to our existing demand-side capabilities. Audigent’s ability to combine inventory with targeted audiences using first-party, third-party and contextual signals provides the best of all worlds, allowing marketers to deliver campaigns centered on consumer choices, preferences, and behaviors. The addition of Audigent further strengthens our strategy to be the premier independent provider of marketing data and identity, ultimately creating more relevant experiences for consumers. To learn more about Experian and Audigent, visit https://www.experian.com/marketing/ and https://audigent.com/.
When it comes to cybercriminals and threat vectors, we need to expect the unexpected. Experian’s 12th annual Data Breach Industry Forecast highlights several potential trends for 2025, with AI playing a central role. This year has already seen more data breaches and impacted consumers than 2023, indicating that global data breaches are not slowing down. Some things to watch out for next year includes the potential for more internal fraud. As companies train employees on AI, there is a growing risk that some will misuse their knowledge for internal theft and sourcing sensitive information. Another trend may be cyberattackers targeting large data centers, with the growth of generative AI introducing power as a new attack vector. It’s reported that a single ChatGPT query uses significantly more electricity than a standard Google search, making data centers and cloud infrastructure vulnerable, especially in countries with varying security standards. We expect AI-related attacks to dominate the headlines next year and investments in cybersecurity will increase to tackle this emerging threat, as hackers leverage AI for phishing, password cracking, malware, and deepfakes. Jim Steven, Head of Crisis and Data Response Services at Experian Global Data Breach Resolution in the UK, anticipates that global data breaches will persist at their current rate next year. He notes that ransomware attacks are likely to become even more sophisticated with the integration of AI. Additionally, Steven predicts that threat actors will escalate their tactics to achieve greater rewards, and the misuse of consumer data to damage reputations will increase in 2025. To access the complimentary report, click here.