Last year, a Kaiser Family Foundation study revealed that employer-based health insurance deductibles in the U.S. were at an average of $1,505. In 2006, the average was only $303. During this span of 11 years, the majority of responsibility for healthcare costs shifted from insurance companies to patients themselves, and many are still reeling from the sticker shock. Before consumerism and routinely high deductibles, healthcare providers focused most of their collection efforts on health insurance companies. Now, patients are a main source of providers' revenue, and some organizations are struggling to fit their old revenue cycles into the new payment landscape. However, many patients aren’t prepared for the increasingly high costs of healthcare, so they may opt to delay their care until they’ve met their deductibles at the end of the year. This creates a volatile and unpredictable revenue cycle in which organizations are slow in quarter one and quarter two and then slammed in quarter three and quarter four. Other patients could forgo medical care altogether, cutting down revenue for providers. Both scenarios contribute to a less healthy general populace and a vicious cycle in which more patients need increased care but most of them continue to hesitate or refuse it. At Experian Health, we recognize and want to bring change to this unstable healthcare climate. Our healthcare price transparency tools take sticker shock completely out of the equation by stabilizing the revenue cycle and putting transparent pricing in healthcare and payment options at the forefront. Applying consumerism to transparent pricing in healthcare Healthcare might have been a bit slow to catch up, but modern consumerism has already changed virtually every other industry. Today, consumers demand to know what they’re paying for and exactly how much before any transactions are complete. They need payment options that make their lives simpler and the ability to manage their accounts conveniently online without jumping through hoops. All of this is possible for healthcare organizations to provide, but they must be proactive in helping patients overcome the burden associated with modern healthcare costs. From financial education to flexible financing programs, any organization can improve patient satisfaction by providing transparent price information and affordable solutions upfront. With that goal in mind, Experian Health offers a variety of healthcare price transparency tools that can set your organization on the path to financial clarity, education, and advocacy: Patient Estimates A high medical bill is stressful alone, but it’s infinitely more so when the amount of the bill far exceeds what a patient expected. Price transparency is paramount to overcoming that stress. It’s also mandated in several states and will soon be in all others. With Patient Estimates, you can deliver transparent pricing in healthcare to every patient before or at the point of service. Our Patient Estimates tool automatically generates estimates based on treatment costs, payer rates, and a patient’s eligibility for benefits. The platform takes the guesswork out of the process by automatically storing and populating this information so you can provide patients with highly accurate estimates as early as possible.   Patient Statements When patients know what price to expect on their medical bills, they’re more prepared to pay them. Yet if they can’t read or understand the bill, they might still delay paying it until they have time to thoroughly address any concerns. To simplify the final bill, we offer Patient Statements software that combines separate billings into one simple, easy-to-understand statement. Patient Statements not only simplifies a patient’s bill, but it also helps you turn it into a valuable engagement tool. Every statement can be personalized with educational information about the patient’s condition, links to relevant videos and websites, and marketing messages for products that can improve the patient’s quality of life. Patient Self-Service Consumers are used to going online and managing their finances from a smartphone or computer. They often choose retailers based on this availability, and soon, most will choose healthcare providers on the same basis. Giving them convenient, 24/7 access to their healthcare accounts through Patient Self-Service portals will become increasingly more important for organizations to stay competitive. An online, self-service portal allows patients to view their estimates, manage their integrated fundraising accounts, pay their bills, and stay up-to-date with changes to their healthcare. Our self-service healthcare price transparency tools are also protected by highly secure payment processing technology, so patients can be confident that their information is closely guarded every time they interact with the platform. PaymentSafe® Collecting healthcare payments requires the combined security of protected health information and a patient’s personal and financial data. Our comprehensive PaymentSafe solution makes it possible to safely and conveniently collect payments at any point in the care cycle and from any department within the organization. Every payment is automatically settled throughout the system, as well, so patients are never double-billed. PaymentSafe also applies to every type of remittance — from electronic checking and debit cards to cash, checks, and money orders. In addition to satisfying information safety compliance standards, the technology gives patients peace of mind and encourages them to be more proactive in settling their healthcare bills. Transforming your revenue cycle to make it more consumer-centric and price transparent can seem like a daunting task, especially in an industry in which every small change has resounding consequences. At Experian Health, we’ve made it our mission to make that transformation easier by helping organizations provide the healthcare price transparency tools and payment options that their patients demand.

Making phone calls, filling out paperwork, and chasing down debt shouldn’t take up the bulk of a healthcare organization’s daily schedule. Now more than ever, physicians have little time to provide high-quality care to their patients. In 2015, the American College of Physicians (ACP) put forth the Patients Before Paperwork initiative to address the burdens that these administrative tasks create for physicians and their staff. The ACP states that defining and mitigating administrative tasks is essential to improve an organization’s workflow and reduce physician burnout. Through utilizing healthcare workflow automation, you can improve productivity without overextending employees' duties. Instead, your team can spend more time caring for patients and helping them with the financial side of their experience, which is something both patients and doctors prefer. Easier access with automated healthcare solutions In the new wave of consumerism, there is a high demand for convenience and transparency in every transaction. Healthcare providers and organizations also face this pressure, but the industry has been slower to transform because patient care transactions are infinitely more complicated than online retail purchases. Despite the slow go, healthcare workflow automation technology and organizations are starting to catch up. For example, engagement is a defining factor for today’s healthcare consumers. However, engagement must be mindfully catered to specific situations. When it comes to scheduling appointments, patients actually prefer an automated healthcare workflow approach over talking to a human. Regardless of its form, engagement is still essential in all aspects of the care continuum, and physicians can find it hard to engage when every administrative task has to be completed by hand. If you’re still devoting time and resources to manual patient access tasks, you're not only falling behind in the competitive healthcare industry, but you’re also missing an opportunity to enhance the overall patient experience. Fortunately, countless tasks — scheduling, preregistration, registration, and admissions — are no longer paper-based and don’t require nearly as much hands-on involvement as they used to. Given this reality, automated healthcare solutions can and should take are of scheduling and other mundane tasks. Ultimately, automation will allow administrative employees to focus on other areas of engagement, like financial counseling for patients. Employees will have more time to help patients understand their financial obligations and perhaps set up a payment plan before procedures, avoiding the sticker shock of a surprise bill months later. The touchless approach In the Patients Before Paperwork initiative mentioned above, the ACP concluded that “excessive administrative tasks have serious adverse consequences for physicians and their patients.” At Experian Health, our automated healthcare solutions reduce those consequences by creating a touchless approach that only requires human intervention for exceptional cases. A touchless, automated healthcare workflow makes patient access predictable so you can spend more time serving patients. For example, our eCare NEXT® solution is a single platform that automates every step of the revenue cycle. Users only work on prescreened accounts with actionable follow-ups. Touchless Processing™ takes care of the rest through intelligent automation. You can effectively implement Touchless Processing throughout the rest of your organization by integrating eCare NEXT with Experian's other solutions: Registration QA When eCare NEXT is integrated with Registration QA, for instance, you can automatically access patients’ insurance eligibility in real time and identify registration inaccuracies early in the revenue cycle. This significantly reduces claims denials that can cut into revenue and take up more time to correct and resubmit. Payer-specific information can also be stored and automatically updated to ensure accuracy every time that payer comes up. Authorizations You can carry the touchless approach even further by expanding your suite of solutions with our Authorizations.The platform automates authorization management using the payer authorization requirements already stored and updated in the system. Authorization completes inquiries and submissions without user intervention to further reduce denials and expedite reimbursements. When done manually, administrative tasks related to orders, scheduling, preregistration, registration, and admissions are a drain on any healthcare organization’s resources. Minimizing staff involvement in these tasks improves the experience for physicians and patients alike, but it requires automated healthcare workflow solutions that can be seamlessly integrated into the workflow. With Experian Health’s Touchless Processing solutions, providers can exercise greater control over these tasks and significantly improve revenue recovery. This will give physicians and employees more time to focus on creating a more efficient, effective, and positive experience for everyone involved.

No two healthcare organizations are the same. Each has varied workflows that optimize efficacy and overall care for patients. That’s why healthcare software solutions should never be considered one-size-fits-all approaches. It isn’t fair, or terribly productive, to force healthcare organizations to adapt to new software. Rather, the healthcare software should adapt to them. At Experian Health, we’ll never supply a software product and then expect you to adjust workflows to suit it. Instead, we embed ourselves into your company to ensure we deeply understand your productivity needs and the reasons behind them. Only then can we tailor the solution we provide around you. It’s never too early to get it right The conversation about customizing your healthcare organization's solution begins before you even sign up. As soon as a solution interests you, we’ll start looking at how to tailor it to your unique needs. We’ll hold a meeting that includes subject matter experts and implementation leadership groups to uncover your greatest usability needs. Then, we’ll document those needs to better prepare whoever runs your project and ensure he or she has all the necessary information upfront. Then, gears start moving during the sales process. After choosing a solution, our team of experts works with members from every department in your organization to iron out the appropriate design and functionality details. We believe the people who will be using and relying on the solution every day should have a significant say in these details. However, we’ll do all the legwork of actually building and implementing the solution itself. By the time we’re ready to run internal tests to make sure the software works, members of every department will already know what to expect. Consequently, when they run user acceptance tests to check whether the solution fits into their workflows, they can accurately measure the solution’s performance against their input into its design. Afterward, we can iron out any hiccups they run into before initiating the organizationwide training and “go live” steps of the process. It’s never too late to make adjustments Our deep involvement in customizing your solution also begins before you select it, and it continues long after it's successfully implemented. We don’t go away just because we marked you as “live.” Instead, we understand that the healthcare industry is in constant flux and you might experience operational changes that warrant additional tinkering and tailoring to our solutions. We’ll stick around for a couple of days after going live, and we’ll stay available forever after, just in case. For example, if you purchase a new physician group six months after going live, you’ll face quite an uphill battle onboarding them all into your software system and, in turn, getting them up to speed. Because the group is new, you might face opposition to bringing on any change in general. In this case, you could use help facilitating the training and the adoption of your system into this new group, and that's where we step in. Additionally, what if this implementation requires a work queue structure that’s vastly different from yours? If the new group operates in a different area of the state, they might also have unique rules for some of their payers. These rules have to be incorporated into their system to accommodate the patient population. None of this, though, should fall solely on your shoulders. We can worry about the system's features so you can focus on the operational change management aspect. For our clients, we’re always on call. This devoted availability could range from six months or even six years. Whatever the situation, we know that you’ll eventually face circumstances that your software wasn’t originally designed to address. Instead of feeling stuck and frustrated, clients can find comfort in knowing we are here for every step of the process. And beyond tailoring your solution before implementing it, we also offer continued customization to help you tackle new circumstances without compromising workflow. Overall, here at Experian Health, we understand the pressures facing healthcare organizations today, and we are eager to be partners with you in securing the best solution for you needs and guiding you through the challenges ahead.

To help our clients keep up with regulatory changes, Experian Health will provide quarterly legislation updates: Q1 2018 updates  North Carolina Data Breach Legislation In North Carolina legislation has been proposed that would require notice to be made within 15 calendar days of discovery of a data breach. If passed, North Carolina will have one of the most onerous breach notification laws in the country. For comparison, California’s notice requirement is 15 business days. North Carolina’s current statute requires notice without “unreasonable delay.” Alabama Data Breach Legislation On March 21 South Dakota’s data breach notification bill was signed into law, leaving Alabama as the only state without a data breach notification law. However, Alabama is working to change that. On March 1 the Alabama Senate unanimously voted to pass the bill containing the Alabama Data Breach Notification Act, sending it on to the Alabama House. (The House subsequently amended it and returned it to the Senate for concurrence.) The Act would require notification of affected individuals within 45 days of determination that (a) a breach has occurred and (b) the breach is reasonably likely to cause substantial harm. There would be no private right of action, but the Alabama Attorney General would be able to fine companies that fail to notify up to $5,000 per day.

Seven years ago, Bill's healthcare group invested in a new health information system, and the dust still hasn’t quite settled. Like most health information system providers, Bill's vendor communicates mostly through the group’s IT leader. He has to pick and choose what updates and features are implemented, and the people who work with the system daily are expected to figure out how to make the most out of it. Fortunately, Bill and the head of IT are great pals. They eat lunch together, go out for after-work cocktails, and try to bridge the gap between their healthcare software vendor and the end users on the frontline. But Bill shouldn’t have to rely on that friendship for his healthcare team members to be able to do their jobs, and it shouldn't have taken seven years for the software to be properly integrated. Bill's not a real person, and his healthcare group is fictitious, but both are archetypes of the new healthcare landscape. Constant market changes and ongoing challenges have forced healthcare systems to partner more closely with medical software vendors. However, it’s challenging to find vendors that are willing to roll up their sleeves and work alongside the end users to design solutions that are tailored to their specific needs. At Experian Health, we want to make sure the first experience your team has with our health information system products is a positive one and that you all look forward to using them every day. Your group’s success is our top priority, and playing an active role in your onboarding process helps ensure that success. Providing health information systems and the knowledge to use them The problem with the archetype of Bill is that the end users in the group had to take on the tasks of learning and optimizing the system themselves. Trainers lacked the deep level of understanding needed to create enthusiasm about the system, and overall adoption lagged. By contrast, we know our solutions like the back of our hands, so it only makes sense for us to share that knowledge and collaborate to implement those solutions through medical software training. With years of experience under our belt working with healthcare organizations across the country, we’ve heard virtually every possible question end users ask. That experience gives us the flexibility to come up with on-the-fly solutions to challenges we haven’t thought of yet and suggest ways to optimize your group’s workflow with the system. We can offer shortcuts, tips, and tricks to make the system work more efficiently for your team. Collaborative onboarding lets our clients dive deeper into learning their new systems than they could by just reading predetermined lesson plans and FAQ lists. It helps us when we help you make the medical software training go smoother and ensure all end users actually want to use the product. In fact, for the first three to five months, Experian will be a physical presence at your organization, helping with change management and the onboarding process. Personalized, effective onboarding The process differs depending on how complex your organization is and what you’re installing, but typically, collaborative onboarding adheres to the following timeline: We start the process with a formal kickoff and demo to get executive leadership and everyone on the frontline up to speed. The demo lays out what the project will look like for the group and gives everyone the chance to start considering how to operationalize it for the organization. After the kickoff, our teams collaborate with specific subject matter experts and start digging into the nitty-gritty design and functionality detail work. We really stress the importance of operational input from people who will be champions for their specific areas, not just the IT teams. These champions need to communicate the details of the system’s design to their peers. When the design is complete, we do all of the heavy lifting to build the product, and then we conduct internal testing to make sure it works effectively. Next, we guide operational champions through user-acceptance testing to make sure the product meets their needs. User-acceptance testing occurs in a real-life, day-to-day setting so users can validate that it fits into their workflow. Once we iron out any changes warranted by the user-acceptance testing, we extend training into the larger workforce and officially go live. A month later, we come back and hold an optimization workshop to observe users in action. We can answer questions and provide suggestions on how to improve efficiency even further or make tweaks to improve user processes. With the rush to adopt faster and more efficient technology, many healthcare organizations have been left in the dust to figure out how to make new technology work best for them. At Experian Health, we stick around after software implementation to make sure your entire organization can hit the ground running. Our mission is to help the healthcare industry succeed in providing better, more comprehensive care to patients, and collaborative onboarding ensures our products do just that.

As the health industry faces extraordinary changes, how can leaders better drive efficiency and optimize resources? Recently President for Experian Health, Jennifer Schulz, sat down with The Business Debate to answer this pressing question. In short, the best way to get there is to turn to data-driven technology. In this interview, Jennifer touches on some of the main barriers to efficiency in health systems: Patient financial payments and identity management. Here are some excerpts from her interview. To watch the video and read Jennifer’s editorial, please click here. Patient financial payments and price transparency “The use of technology in healthcare is slim. When a consumer in a retail experience or a financial service experience uses their mobile device, or goes online, that experience doesn't translate into healthcare. Experian Health is very focused on improving the transparency of healthcare from a financial perspective. We've launched things like patient estimators because there’s no other large purchase you make in your life that you don't know what you're about to buy. And healthcare, for the most part, this all happens after the transaction, and that type of transparency in healthcare can come with the use of technology.” Universal patient identification “Another issue is identity isn't the same when you go from system to system. Every hospital, every provider looks at you as an individual, and puts a number associated with you. That number is within their system only, and so you may go across systems, but there is no view of identity. One of the solutions we've launched here at Experian Health is the universal identity manager, and we're offering that with no charge to our clients because we think identity is the one key to provide transparency across systems.” As we have done for other industries, Experian is at the forefront of bringing this type of consumerism to healthcare. Through our data assets and technology, we empower our clients to connect with consumers through a tailored approach that is personalized along the patient journey. To learn more, visit www.ExperianHealth.com.

In a new whitepaper, Technology and Data-Driven Decisions Driving Best Practices for Patient Collections, Experian Health analyzes the results of two recently fielded surveys aimed at learning how organizations approach the process of obtaining payment from patients. The paper reviews both an HFMA-led survey and an Experian Health-facilitated one, discussing the current state of patient collections, as well as emerging best practices to improve performance. While knowing that organizations are working with varying degrees of success to offer more patient-friendly financial interactions, using technology and data to inform and drive patient engagement, Experian Health wanted to understand the best practices that organizations are using to elevate performance in patient collections. Our findings were published in this HFMA whitepaper which discuss the findings from these two research projects and validate best practices and offer unique insight into the successes and shortfalls of the patient financial experience at health organizations.

This is an exciting time for our industry, and agility and knowledge are critical for your organization to Lead the Way by meeting the growing expectations of patients and keeping pace with the ever-changing healthcare landscape. Since 2004, the Experian Health 2017 Financial Performance Summit has connected business leaders to discuss innovative ideas and solutions, allowing organizations to improve their overall financial performance and increase profits. Summit 2017 focused on collaboration, idea sharing and networking, with numerous sessions on how you can take control of your organization’s road map for growth and operational efficiency. The intimate setting of Summit 2017 allowed for unique networking opportunities, one-on-one conversations with subject matter experts and numerous breakout sessions that will provide valuable insights from industry thought leaders. The three-day Summit provided hands-on learning opportunities with product experts and the exchange of knowledge with peers in an engaging environment. The agenda featured industry-leading speakers, provider- and Experian Health-led educational sessions, a dedicated leadership track, one-on-one training, networking lunches and receptions, and evening events featuring live entertainment. Break-out sessions at the Summit covered: Claims Collections Contract Manager Patient Access Patient Engagement Price Transparency Thought Leadership If you attended the Financial Performance Summit about would like to download any of the presentations, they are available here. If you would like to attend one of our future events, please contact us.

Manually cold-calling patients to remind them of upcoming appointments or of bills nearing a due date has never been an effective engagement strategy. On the contrary, such reactive tactics reduce engagement quality and can harm revenue cycles. It's important to remember that real connection empowers patients to be proactive in their care and improve their own outcomes, which encourages them to keep up with future appointments and medical payments. For modern healthcare organizations, maintaining this level of high engagement requires more than the automatic actions they’ve grown used to. Instead, the overall healthcare world needs more robust patient engagement to push forward and stay relevant with patients. Without this change, organizations are more likely to encounter skipped appointments, preventable readmissions, missed payments, revenue loss on several fronts, and poor patient outcomes. Fortunately, Experian Health offers a range of solutions that make it easy to engage patients in their care, improve patient outcomes, and create more profitable revenue cycle management (RCM) throughout an entire organization. Using patient engagement technology to improve care As previously mentioned in an Experian Health blog, patient portal technology — among others — is rewiring the technological landscape and capabilities in the physician and patient relationship. Portals are used for secure messaging by 41 percent of family practice physicians, and 35 percent of physicians also use them for patient education. This type of patient engagement technology culminates in our Patient Self-Service portal, which pools together data from our Patient Estimates, Patient Statements, and Coverage Discovery tools. The portal gives patients a single point of access to request estimates, pay bills, check financial assistance eligibility, and receive advice from doctors, nurses, and specialists. The above are just a few results from elevated, proactive patient engagement. Another perk is the portal’s unique ability to automatically populate patient-specific and payer-specific information into each estimate for optimal accuracy. This feature gives patients peace of mind by knowing what their exact out-of-pocket expenses amount to. When they receive a bill that matches the estimates they’ve been budgeting for, patients are more likely to adhere to payment obligations and return to a healthcare organization for future medical needs. This also makes it easier for an organization to collect payment at point of service and throughout the rest of the patient’s care continuum. Risk stratification for more successful revenue recovery For the first time in history, there is a growing convergence of powerful, internet-connected personal devices and massive amounts of analytical, social, financial, and behavioral data tied to individual patients. Experian Health’s timely patient engagement tools allow providers to tap into this convergence to revolutionize how they engage with patients at all points throughout their care. For example, by analyzing patient-specific financial information, this engagement technology can help providers identify when patients may benefit from financial assistance, especially for upcoming treatments. In turn, the provider can send the patient information about how to request for this type of assistance through an interactive portal with accurate estimates. To help reduce readmission rates for non-critical concerns, Experian Health’s tools can also help identify when patients may need unique, targeted engagement. For instance, patients with heart conditions can benefit from information regarding diet and lifestyle changes that improve cardiovascular health. These tools help providers determine the best type of content to send and the appropriate medium to send it through, such as email, text, or app notifications, according to the patient’s specific preferences. By working together with healthcare providers, Experian Health’s solutions combine highly personalized self-service with accurate price transparency and patient-risk stratification to proactively engage with patients. You, too, can be at the forefront of improving patient outcomes and RCM strategy effectiveness by understanding the changing healthcare environment. Utilizing tools, such as a patient portal and others, can position your organization to increase patient engagement and benefit from being a forward-facing healthcare provider.