Experian Health Blog

This blog post looks at why the patient experience matters in healthcare and suggests four areas that are ripe for improvement.

Get a run-down of patient and provider perspectives on patient access, what they see as top challenges, and where opinions diverge.

Manage the claims adjudication process with greater ease to save time and money. Use these strategies to help reduce claim denials.

How can healthcare providers improve revenue cycle predictability? Experian Health’s suite of RCM solutions can help.

Learn more about the benefits of mobile patient pre-registration and why its important to healthcare’s revenue cycle.

The State of Patient Access 2024 report explores patients’ and providers’ perspectives on healthcare access.

The impact of AI and automation in healthcare is just beginning. Learn how these tools can help reduce claim denials, manual tasks, and more.

Learn how automated patient financial assistance screening helps healthcare providers reduce bad debt and enhance patient experiences.

Learn more about how patient registration software can reduce manual errors and set the stage for a better patient journey.

“I love the availability of the Experian team. They are quick to solve any issue and get you back up and running in no time.”—Andrew Pederson, Director of Patient Experience, UCHealth Challenge UCHealth, in Aurora, Colorado, is an integrated system of 12 hospitals and more than 30,000 employees. When the state of Colorado released data on non-profit hospital charity care and community benefits, UCHealth's spending was lower than anticipated despite having policies on equitable charity care in place. Additionally, the state was about to implement new legislation on charity care, setting a cap on charges for low-income patients. UCHealth proactively sought to revamp how they handled charity care in preparation for higher patient volumes in the future. The organization decided to review its charity policy and processes. After examining other providers, UCHealth determined that it lacked presumptive charity functionality early in the patient encounter. New technology would help patients avoid the accrual of unpaid medical bills and keep UCHealth from accruing bad debt. Solution UCHealth added Patient Financial Clearance in 2023 after their favorable experiences with Experian Health's Coverage Discovery® and Insurance Eligibility Verification. Patient Financial Clearance allowed the provider a more nuanced understanding of each patient's ability to pay by going beyond their reported income to look at the Federal Poverty Level ratio and their propensity-to-pay. The technology used powerful analytics to create a Healthcare Financial Risk Score, encompassing historical credit activities, including payment of past medical bills. Importantly, Patient Financial Clearance helped UCHealth staff determine options for financial assistance automatically, without relying on the patients themselves. Automation in the platform reduces time spent per encounter, improving the patient and staff experience and, ultimately, the bottom line. Case study: How UCHealth secured $62M+ in insurance payments with Coverage Discovery Discover how Experian Health's Coverage Discovery helped UCHealth create a more streamlined approach to verification and billing. Outcome Thanks to Patient Financial Clearance, UCHealth achieved the following results: $26 million in disbursed charity care. More than 1,700 patients covered. 600 charity cases closed in one month alone (August 2023). Overall, Patient Financial Clearance helped UCHealth create a more streamlined approach to providing charity care to patients who need it. The technology integrates easily with the provider's electronic health record (EHR) system, eliminating the back-and-forth between multiple systems during patient registration. Identifying patients who need financial assistance saves the UCHealth team from misclassifying them as bad debt, minimizing financial losses on the organization while improving their overall experience. Andrew Pederson, Director of Patient Financial Experience at UCHealth, highly recommends this software and the team that provides it, stating, “I love the availability of the Experian team. They are quick to solve any issue and get you back up and running in no time.” For providers seeking to streamline the revenue cycle, Pederson says, “Get out of your own way and just do it.” Learn more about how Patient Financial Clearance streamlines patient charity screening while maintaining an outstanding experience at every step of the encounter. Learn more Contact us

In this blog post, learn about the basics of medical billing in the revenue cycle and how it helps providers improve patient collections.

Learn about the challenges in traditional claims processing and how AI-based claims management technology can drive revenue cycle efficiency.