Client Results

FEATURED CASE STUDY

Care meets payment

Nov 18, 2024

Teaching hospital dramatically reduces medical necessity denials across payers

When medical necessity denials doubled, leaders developed a proactive plan for denial prevention. It’s paying off. We share how.

Case Study

Growing capacity, adding value: Lee Health is reducing beds and costs in a high-growth Medicare market

The health system created a hospital at home program that is on track to deliver 20% cost savings and more than 7,000 admissions within 5 years.

Case Study

Change management drives success: A health plan sets up its PDM implementation for optimal benefits

Effective communication and stakeholder engagement produced a shared vision, risk mitigation for potential disruptions, and improved user readiness for its new provider data management (PDM) system.

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EHR meets ERP: A regional health system integrates platforms and data via a conjoined integration

These enterprise implementations required considerable design decisions, interdependency planning, and operational change. They went live on time, and clinical and financial data now flows seamlessly.

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From care barriers to a frictionless patient experience: An NCI cancer center launches a navigation program

An NCI-designated cancer center sought to ensure every patient’s individual needs are met throughout their cancer journey. Its new navigation program profoundly improved the patient experience.

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Unsustainable to scalable: A large AMC optimizes its hospital at home care team model to drive growth

By combining a unified management and care team model with reimagined approaches to staffing and compensation, an AMC sustainably scaled its hospital at home program.

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From regulatory requirement to strategic initiative: Columbus Regional Health transforms its price transparency program

By making financial transparency a strategic initiative, Columbus Regional Health was able to successfully scale, and improve both collections and consumer engagement.

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Power of strategic planning: A health plan ensures optimal ROI for a provider network platform transformation

This health plan’s early investment in its provider network platform transformation safeguarded a successful implementation and enabled future growth.

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Homeward bound: A large AMC builds a scalable hospital at home care model

An AMC transformed its hospital at home program by establishing a foundational, scalable infrastructure that closed capability gaps and enabled growth.

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Prioritizing alignment: How a health plan developed an enterprise provider data strategy

By positioning provider data as a strategic enabler, a health plan was able to achieve alignment across functional areas and enhance operational capabilities.

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