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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 Our acquisition of Wave HHDC transforms the outdated clearinghouse model and will deliver immense benefits to our healthcare providers in the form of more accurate claim submissions and higher reimbursement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.
We believe that financial literacy leads to empowerment. That is why Experian supports initiatives and partners with community organizations to deliver financial education. We also develop products and services that give more control to consumers over their credit profile and financial health. As part of advancing our mission of Financial Power to All®, we are proud to announce we are helping more than 5,000 Hispanic individuals nationwide by relieving $10 million dollars of consumer debt. To provide families with this boost, we joined forces with ForgiveCo, a Public Benefit Corporation (PBC), to administer the acquisition and cancellation of qualifying consumer debt for the selected recipients. Beneficiaries will also receive a one-year premium Experian membership for free that offers access to their Experian credit report in English and Spanish[i], FICO® Score[ii], bilingual educational content, and other financial resources. We hope this effort helps raise awareness of the importance of financial literacy for everyone, and that Experian has resources to help individuals reach their financial dreams. To amplify the message, we collaborated with multi-platinum, award-winning singer and songwriter Prince Royce and you can see his video here. In fact, we have been making a concerted effort the last several years to evolve our educational resources and products to better support all underserved communities. Some of our other activities include the creation of the B.A.L.L. for Life initiative that connects African American and Hispanic youth with financial education, supporting scholarships for Asian Americans through the Ascend organization, providing custom resources for Out & Equal and Born This Way Foundation for the LGBTQ+ community, supporting the NextGen Innovation Lab for Disability:IN, and sponsoring credit counseling for the military community with Operation HOPE. For resources in Spanish, Experian offers a credit e-book and consumers can access a full suite of articles at the Ask Experian blog here. [i] 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. [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.
Amid some of the financial challenges that underserved communities experience, members across the financial services community remain committed to championing initiatives and programs that drive greater financial inclusion. In fact, collaboration has led to the inclusion of non-debt related payment information on consumers’ credit profiles, as well as digital services that make it easier to manage money. These efforts have helped to broaden access to fair and affordable financial resources for more individuals. While significant progress has been made, there is still more work to do. However, some of the misconceptions and myths about the financial services community are hindering further advancement. Debunking these myths will accelerate progress by building trust between the financial services community and consumers. Person withdrawing money from ATM contactless Myth #1: “Financial institutions have no interest in underserved consumers or credit invisibles.” The truth is, banks and credit unions want to say “yes” to more prospective borrowers, including individuals and families from underserved communities. Beyond being the right thing to do, it’s an opportunity to potentially build lifelong relationships with a relatively untapped market. A show of good faith to communities who have largely been ignored by the financial system could lead to customer loyalty that may extend to their family and friends. That’s why participants across the financial ecosystem have been proponents of including expanded data sources—such as on-time telecom, utility and video streaming service payments—on to consumer credit reports, as well as exploring other Fair Credit Reporting Act (FCRA)-regulated data sources, including payment data on short-term small dollar loans and expanded public records data. Making this data more accessible to lenders provides a more comprehensive view of a consumer’s ability and willingness to repay outstanding debt—an actionable solution to extending credit to consumers without lenders taking on additional risk. Myth #2: “There is a lack of trustworthy financial education resources.” The financial services community and affiliated organizations recognize that empowering people with financial knowledge and skillset are critical to consumers’ financial success. In fact, banks and credit unions are partnering with nonprofits and non-governmental organizations to better understand the unique challenges and opportunities within specific communities and provide relevant tools and resources. For example, Experian’s B.A.L.L. for Life (Be A Legacy Leader) program, launched in partnership with the National Urban League, serves as a catalyst for engaging with Black communities and low-income youth through live events and digital financial education. Subject matter experts, professional athletes, celebrities, and other influencers share their experiences and expertise, covering topics such as banking, credit, financial management and investing. In addition, to help people improve their financial management, Experian partners with the National Foundation for Credit Counseling (NFCC). The NFCC connects consumers with certified financial counselors to help them address various pain points, including debt management, homeownership, student loans or small business cash flow issues. Myth #3: “Underserved communities have few opportunities to build credit and enter the mainstream financial system.” People from underserved communities, as well as younger consumers and recent immigrants are often excluded from the mainstream financial system because they lack an extensive credit history. Historically, it’s created a vicious cycle; in order to get credit, you have to have credit. Fortunately, there has been a sea change in innovative solutions to address the specific needs of these populations. These include new credit scoring models and microfinancing which provide financial services to individuals who may have been excluded from traditional banking systems. In addition, by incorporating expanded data sources, such as telecom, utility and residential rental payments onto credit reports, lenders have more visibility into consumers who may have been excluded by traditional credit scoring methods.These programs help individuals and families from underserved communities establish and build a credit history that could enable loans, or the ability to rent an apartment or open their dream business. An example is Experian Boost®, a free feature that allows Experian members to contribute their history of making utility, cellphone, insurance, residential rent and video streaming service payments directly into their Experian credit profile. By incorporating nontraditional credit data like paying utility bills on time, online banking transactions, rental payments and verified income data, more people can establish a credit profile that can potentially qualify them for a loan. More Inclusion, Fewer Myths It’s encouraging that community organizations and banks are beginning to see the economic and social benefits of aligning on financial literacy and inclusion. As more initiatives come online, underserved populations will be able to establish a better financial foundation. Then, we can declare the myths to be history.