HEALTHCARE REVENUE OPTIMIZATION

Today’s reformed healthcare environment of increased regulations and quality-based payments, combined with declining CMS payments/reimbursements, has made revenue optimization a critical success factor for health plans.

Traditional compensation methodologies can no longer be assumed, but rather require a strategic focus to increase Star Ratings to ensure a bonus payment and maximize reimbursement for HCC risk adjustment factors. The goal is not to maximize revenue, but rather to optimize it by taking into consideration both the benefit and cost of achieving these desired outcomes.

THOUGHT LEADERSHIP

The Role of Data Federation in Revenue Optimization

“Just as states federate to form a country, data residing within independent data stores can form what appears to be a virtual database to the end user, without ever copying or transferring the data. The relational databases that are the foundation of healthcare can continue to be used and now be can leveraged by bringing in unstructured data sets, such as consumer data or wellness data by county, to improve the customer experience as well as financial and operational performance.”

DOWNLOAD

READY TO LOOK DEEPER?

CONTACT OUR HEALTHCARE LEADERSHIP TEAM.

 



GET IN TOUCH WITH US

Mail

lookdeeper@exlservice.com

Address

280 Park Avenue, 38th Floor

New York, NY 10017