Tag: patient financial advisor

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Key takeaways: Many eligible patients don't apply for charity care simply because they don't know it's available, leading to financial strain for patients and providers. Improving charity care communication helps patients understand their options early, builds trust and reduces uncompensated care for providers. Automating financial assistance screening with tools like Patient Financial Clearance supports compassionate financial conversations and ensures more patients are connected to support at scale. Patients face difficult choices when the cost of care feels out of reach. Some hesitate to proceed with planned services due to affordability concerns, even though financial assistance may be available. For providers, Medicaid rollbacks under the budget reconciliation bill could leave more patients without coverage, increasing the volume of uncompensated care and making revenue less predictable. Charity care programs provide a financial safety net – but only if patients know about them. This article looks at how improving charity care communication connects more patients to the financial support they need. Why clear communication about charity care matters Charity care programs are designed to remove financial barriers to care for those most in need. They provide full or partial discounts to uninsured or underinsured patients for medically necessary services, as set out in hospital policies and state-level regulations. However, according to a 2025 Lown Institute study, millions of eligible patients do not apply because they do not realize the support is available. This lack of charity care awareness could affect care decisions. Experian Health's 2025 State of Patient Access survey found that 43% of patients would consider cancelling or postponing care without an accurate cost estimate. Meanwhile, 34% report they often struggle to pay for healthcare, and 95% say they experience affordability challenges at least occasionally. Making patients aware of available support means they'll feel more confident about what they owe, build trust in their provider and reduce the risk of uncompensated care. The barriers patients face when learning about financial assistance Limited information isn't the only reason for low charity care uptake. Confusing eligibility rules and complicated application processes also make support harder to access. Socioeconomic factors, language barriers and poor digital literacy compound these obstacles. Without action, the challenge looks set to intensify. A Kaiser Family Foundation investigation found that hospitals in states with limited access to Medicaid generally had higher charity care costs. With the Congressional Budget Office projecting that changes under the “One Big Beautiful Bill” Act will result in a further 16.9 million Americans without insurance over the next decade, improving charity care and patient education is likely to become more urgent. Jason Considine, President at Experian Health, explains: “When coverage gaps widen, healthcare providers must be financial advocates for their patients. Hospitals can't afford to wait for patients to ask for help or default on bills. It will become even more important for providers to guide the financial journey. This includes helping patients qualify for financial aid or identify personal payment plans." He says, "Proactive financial screening must be embedded throughout the patient journey and providers need to take every opportunity to help patients understand their options. It's not just about protecting revenue, it's about ensuring that every patient has access to the care they need, regardless of their financial circumstances. That means offering clear education, transparent communication and robust charity care options at every touchpoint.” “When coverage gaps widen, healthcare providers must be financial advocates for their patients. Hospitals can't afford to wait for patients to ask for help or default on bills. It will become even more important for providers to guide the financial journey.”- Jason Considine, President at Experian Health How to build trust when discussing financial support to patients For many patients, discussing financial hardship can be uncomfortable. Providers must approach these conversations with empathy, clarity and consistency. When thinking about how to explain charity care to patients, staff should focus on using plain language, avoiding jargon and being as clear and compassionate as possible. Timing matters as much as tone: patients who understand their options early are more likely to meet their financial obligations. Alex Liao, Senior Product Manager for Patient Financial Clearance at Experian Health, says talking about financial support should be normalized as part of the standard intake process: "While we know a lot of patients worry about cost, there are also those who are unsure if it's okay to bring up,” Liao says. “When providers take the first step and lead the conversation, it takes the pressure off patients and gives them extra reassurance. They feel more comfortable having honest and judgment-free discussions about how to manage their bills." Strategies for improving charity care awareness and understanding Liao says that providers need practical strategies for holding compassionate financial conversations: “Compassion isn't just about how we speak to patients. It's about making sure they trust and process the information they're given, and can act on it,” he says. “That means meeting patients where they are – financially, culturally and technologically. Staff should be trained to explain assistance options confidently and consistently, using standardized messaging, multilingual materials and awareness of culturally appropriate messaging.” Technology can further close the gap. Patient portals, SMS tools and mobile apps can deliver personalized financial messages and guide patients through eligibility pathways in a way that's particularly convenient for younger or mobile-first populations. Integrating charity care communication with eligibility screening Of course, these conversations depend on knowing who needs support in the first place. Automated screening processes make it easier to identify patients who qualify for assistance. This should be done as early as possible, so patients get early clarity about any support that may be available. Embedding charity care screening directly into scheduling, pre-registration and intake workflows means staff can proactively flag patients who need help before balances become unmanageable. By identifying eligible patients upfront, providers can reduce downstream bad debt and avoid the costs of collections and write-offs. On-demand webinar: Hear how Eskenazi Health boosted Medicaid charity approvals by 111% with financial aid automation Discover how Eskenazi Health partnered with Experian Health to automate the entire financial assistance process. How Experian Health supports better charity care communication at scale As states mandate charity care screening, Liao says these processes should be scalable: “We're seeing more states pass legislation that requires screening for financial assistance in hospitals. With other bills like Oregon's HB3320 being enacted, more patients will need to be screened for charity care eligibility. Because more individuals may now qualify, healthcare providers will need an efficient way to screen at scale and make sure patients are informed about their options. A tool like Patient Financial Clearance does well with volume.” Patient Financial Clearance helps reduce the manual burden of screening patients for financial assistance by automatically estimating the patient's income, household size and Federal Poverty Line percentage, and then scoring their propensity to pay. It can pre-populate charity care applications and help suggest custom-tailored payment plans to make patient bills more manageable. Automating key steps and communicating options early in the process helps staff and patients have better financial conversations. Patient Financial Advisor builds on that by allowing providers to contact patients directly with clear, upfront cost information before their visit. It sends a pre-service text message with a secure link to real-time estimates based on current rates and benefits data. Patients can easily see what they owe, explore available assistance and make secure payments, all through an intuitive, mobile-friendly platform. On-demand webinar: The X Factor - Using Experian data to drive financial assistance automation Discover how your peers are automating processes to meet new state charity screening regulations and finding new efficiencies. Empowering patients through transparent financial communication Too often, patients miss out on financial assistance simply because no one told them it was available. That communication gap creates a risk for patients facing unexpected bills, and for providers managing uncompensated care. Transparent financial conversations help remove barriers to care and build trust between patients and providers. With more patients likely to fall into eligible categories in the coming months and years, healthcare organizations need to rethink how and when they talk about financial assistance. Experian Health helps providers take a more proactive and compassionate approach to charity care communication, with scalable strategies that leave no patient overlooked. Learn more about how Experian Health's financial assistance solutions simplify charity care communication, so more patients get the help they need. Learn more Contact us

Published: July 21, 2025 by Experian Health

Highlights: Transparent pricing puts the patient in control of their healthcare and financial decisions. However, many providers don't have the right tools to provide accurate, upfront estimates. The February 2025 executive order put added pressure on hospitals to comply with new healthcare regulations and deliver proof of meeting new compliance standards. Price transparency solutions help providers provide solid estimates, reliable delivery and reporting that stands up to scrutiny. While price transparency in healthcare has improved, it still needs some work. According to the latest Experian Health data, 88% of providers say there's an urgency to improve or implement accurate estimates. Along with the Hospital Price Transparency rule (CMS-1717-F2) that took effect in January 2025, providers are also feeling the heat from a newly signed executive order aimed at strengthening regulations around hospital price transparency—and must take swift action to get compliant. While the full impact of the new executive order is still being defined, now is the time for healthcare organizations to double down on meeting existing price transparency requirements—and get audit-ready. Leveraging price transparency solutions can help hospitals meet regulatory mandates, improve the patient financial experience and keep revenue cycles on track. What is healthcare price transparency? Healthcare price transparency is the practice of providing clear, upfront information to patients about the cost of medical care, including services, tests and prescriptions. In February, the U.S. President signed an executive order aimed at strengthening the enforcement of hospital price transparency. By May 26, 2025, three federal departments—Health and Human Services, Labor, and Treasury—must take action to: Require hospitals and health plans to post actual prices for items and services (not estimates) Ensure price data is standardized and easy to compare across providers and plans Improve enforcement and compliance through updated guidance or proposed rules These changes are designed to make healthcare pricing clearer and more accessible for patients and build on two existing regulations, the Hospital Price Transparency Rule and the No Surprises Act. The Hospital Price Transparency Rule aims to provide consumers with easy-to-understand information about hospital pricing, empowering patients to make informed choices about their healthcare. In addition, the No Surprises Act offers patients protection from surprise billing when certain emergency and non-emergency services are received from out-of-network providers at in-network facilities. Webinar: Price Transparency – Mandates met? Audit ready? Register for our upcoming webinar to explore the latest evolvements in the Price Transparency regulatory environment, to ensure audit readiness. Why healthcare cost transparency matters to patients Patients want to understand the true cost of care, with 38% of patients saying that understanding the cost of care in advance of treatment made for a better payment experience. Yet, according to The State of Patient Access 2025, 56% of patients say they struggle to understand what their insurance covers without help from their provider. Patients also want more accurate estimates. However, despite increases in patients receiving estimates, accuracy has unfortunately gone down for the third consecutive year. Without an estimate before treatment, patients are left uncertain about how much they'll owe and are likely to postpone or cancel care. State of Patient Access 2025 report Download The State of Patient Access 2025 report for a full run-down of patient and provider views about access to care. How cost transparency in healthcare improves patient decision-making The patient financial journey can be daunting, especially as healthcare costs continue to rise. Today's patients crave improved access to understand how much care will cost, check their budget and figure out if they can afford the cost. They often also want to know the cost ahead of time to compare costs, have time to save up for the bill or explore payment options. Cost transparency puts patients in the driver's seat. When providers send accurate, transparent patient estimates upfront, patients are empowered to make more informed healthcare and financial decisions. Patients also want to understand their financial responsibility after insurance, with 77% of patients saying it's important that their provider be able to explain what their insurance covers before treatment. Additionally, 81% of patients also report that accurate estimates help them better prepare to pay their medical bills. This can lead to patients getting the care they need instead of putting it off due to unknown costs. Benefits of hospital price transparency for providers Non-compliance with price transparency regulations can lead to penalties and public notices that impact your reputation. With the passing of the new executive order, the Centers for Medicare & Medicaid Services (CMS) is ramping up enforcement of price transparency regulations. In the first two months of 2025 alone, more actions were taken than in all of 2024. Healthcare organizations with price transparency tools in place will be in a strong position to meet current regulations and whatever comes next. Price transparency also comes with financial benefits, like an increased chance for prompt patient payments, which can help keep revenue cycles on track. According to Experian Health data, 38% of patients report that understanding the cost of care before treatment made for a better payment experience. When patients can pay their bills in full or through a payment plan, providers spend less time chasing collections. More on-time collections help providers maximize revenue, avoid revenue leaks and minimize the potential for bad debt. The role of price transparency tools in the healthcare system Regulatory requirements around price transparency are rapidly evolving. Price transparency tools help hospitals stay compliant, improve the patient financial experience and reduce administrative burden for busy staff. Tools like the Patient Estimates from Experian Health and Cleverly + Associates offer the following benefits: More accurate estimates: Experian Health's Patient Estimates solution generates real-time estimates using the most up-to-date payer contracts, fee schedules and historical claim data. Audit protection: Patient Estimates includes four built-in reports to align estimates with actuals, track collections, and prove compliance, so hospitals are always audit-ready. Improved workflows: Efficient solutions that streamline estimate delivery, reduce estimate errors and easily scale to replace time-consuming manual processes and disjointed delivery systems. Improved patient access to estimates: A self-service portal allows patients to conveniently access personalized estimates. Hospitals can also use complementary tools, like Patient Financial Advisor, to text estimates to patients or download an estimate PDF in-office. With this solution, some clients have reported a direct correlation between automated estimate delivery and collections increases by nearly 133%. Moving toward a more transparent healthcare future with Experian Health Experian Health is committed to developing solutions that strengthen price transparency in healthcare. Through a partnership with Cleverley + Associates, Experian Health is making it simpler for hospitals to be in compliance with price transparency regulations and help patients understand the cost of care. Learn how price transparency solutions from Experian Health and Cleverley + Associates can help healthcare organizations stay compliant with current regulations and help patients better understand their costs. Learn more Contact us

Published: June 23, 2025 by Experian Health

According to Experian Health's State of Patient Access report, patients want two things when it comes to medical billing and collections: clear insurance information and accurate cost estimates. Yet, when they ask, “How much will this cost me?”, many find themselves without a clear answer. Slower payments are an inevitable result. For providers, sub-par billing hurts revenue and limits investment in patient care. Modernizing patient collections with digital tools helps deliver accurate estimates, tailored payment plans and simpler ways to pay, while giving patients the financial clarity they desire. This article looks at the key components of patient collections, and how software-led solutions support a more transparent, patient-friendly and sustainable healthcare revenue cycle. How medical billing and collections impact the revenue cycle Every revenue cycle manager knows that unreliable billing and collections processes can throw the entire revenue cycle into disarray. A single mistake during patient registration, such as an omission in insurance verification or a typo in an address, can lead to inaccurate cost estimates, claim denials and delayed payments. Outdated collections methods force staff to spend valuable time clarifying and chasing payments, instead of focusing on patient care. When these billing inefficiencies pile up, the financial strain spreads beyond the revenue cycle, jeopardizing the organization's ability to make good on its core mission. A reliable medical billing and collection process is essential for both patient satisfaction and organizational resilience. Breaking down the collection process in medical billing To meet the needs of both patients and providers, an ideal medical billing and collection process should include the following components: Pre-visit insurance verification and cost estimates – At registration, staff verify coverage, confirm patient responsibility and provide an upfront cost estimate to prevent any surprise bills. Service and charge capture – Throughout treatment, clinicians document services accurately, and coding staff ensure all medical codes are correct, so bills and claims are error-free. Claim submission – With accurate data from the start, billing teams are set up to submit clean claims the first time and maximize the likelihood of reimbursement. Patient billing and payment – Once insurance processing is checked off, patients receive clear, itemized bills with links to convenient payment options. Follow-up and collections – Rather than pestering patients with phone calls, automated reminders sent via text or email give a less intrusive nudge to encourage timely payments. Healthcare organizations can offer flexible payment plans and, if bills remain unpaid, initiate a structured collections process that balances firm follow-up with compassionate financial counseling. How to optimize the process for maximum revenue If billing and collections teams are used to manual systems, making the switch to automated tools may seem daunting. Focusing on a few core principles, like transparency, accuracy and flexibility, will help ensure they prioritize areas that matter most to patients. Here are a few examples of how digital tools tackle the most common problems that get in the way of better billing and collections: 1. Problem: Patients don't understand their bills Fix: Provider accurate estimates and clear, itemized statements The State of Patient Access report found that 96% of patients want accurate upfront estimates. Yet, 64% did not receive them – and 14% said their estimates were wrong. Tools like Patient Payment Estimates software quickly pull together all the essential data to generate a more precise breakdown of who owes what. Patient Financial Advisor sends patients a pre-service text message with a secure link to their estimated patient responsibility, based on real-time rates, pricing and benefit information. Patients get instant confirmation of what they'll owe and the option to make a secure payment then and there. 2. Problem: Payments are delayed Fix: Offer online and mobile-friendly options With 60% of patients saying they want more online options to pay bills, providers that continue to rely on checks and phone calls are missing a major opportunity. Digital billing and payment methods remove friction and make it easier for patients to keep track of their bills and remember to pay. An integrated payment processing system like PaymentSafe® enables providers to collect payments 24/7 from an increased number of collection points. The tool automatically pre-populates fields in patients' accounts, allowing them to pay multiple bills simultaneously. 3. Problem: High administrative burden is taking a toll on staff Fix: Use technology to prioritize high-value accounts and automate follow-ups and reminders Automation can be a lifesaver for providers struggling with manual follow-up workflows, especially as increasing patient volumes outpace staffing levels. For providers, tools like Collections Optimization Manager help revenue cycle management staff collect more patient balances based on patient segmentation. This solution categorizes patients into different tiers according to their ability and likelihood to pay, using data analysis and predictive modeling. Collections Optimization Manager helps staff prioritize high-value patient accounts, so they don’t pursue uncollectable accounts and collect more with fewer resources. On a recent webinar with Experian Health, Kristen Shoup, Revenue Cycle Director at Wooster Community Hospital, shared how Collections Optimization Manager and automated patient text reminders reduced the administrative burden on staff while offering a more convenient way for patients to pay their balances. Read more about how automated collections strategies helped Wooster achieve a $3.8 million increase in patient payments. 4. Problem: Unpaid balances are piling up Fix: Implement flexible payment plans Patients who are worried about being able to afford their medical bills are more likely to seek out providers that offer flexible payment plans. Personalized plans allow patients to explore tailored payment options and break bills into manageable amounts. For example, Patient Financial Clearance screens patients for Medicaid or other assistance programs, and directs them to the most suitable payment plan. This reduces the risk of unpaid bills and means fewer accounts are written off to bad debt. See how UCHealth used automated financial clearance to identify $26 million in charity care. Strengthening the revenue cycle through better billing and collection practices Providers that listen to what patients say they need to help them stay on track with their financial responsibility will not only improve patient satisfaction, but also gain a competitive edge. Making the medical billing and collection process more compassionate and efficient drives higher collections, reduces bad debt and builds a revenue cycle that is both patient-centered and financially strong. Find out more about how Experian Health helps healthcare organizations improve patient billing and collections. Learn more Contact us

Published: March 19, 2025 by Experian Health

Finding missing health insurance is critical to keeping revenue cycles on track. Insurance eligibility verification is an important process providers use to confirm active coverage, including additional coverage a patient may have forgotten. According to Experian Health's State of Claims 2024 survey, almost a fifth of providers say missing coverage is a top reason for claim denials. It helps providers determine what insurance a patient has and what's covered and plays a key role in billing. When a patient has more than one type of active coverage, providers use insurance eligibility verification checks to determine how much should be billed to the correct payer and in what order. However, searching for missing coverage is often time-consuming and error-prone thanks to manual systems, disjointed databases and ever-changing payer regulations. When mistakes are made in the early stages of patient intake, it affects every step of the patient journey and revenue cycle. The struggles to confirm patient coverage are likely to worsen as patient volumes increase, medical needs get more complex and staffing shortages continue. Despite these mounting obstacles, insurance eligibility verification checks remain a critical first step to reducing claims denials, improving patient outcomes and minimizing lost revenue. This article explores why insurance eligibility verification checks matter and how providers can adopt new strategies and digital tools to find missing health insurance and prevent revenue from slipping through the cracks. The hidden costs of missing health insurance Today, more Americans are struggling to afford their medical bills — even with insurance. A KFF study reports that 48% of U.S. adults find affording healthcare difficult, while 25% say they or someone in their household had issues covering medical costs in the past twelve months. About half of those surveyed say paying an unexpected $500 medical bill would put them into debt. Insured patients aren't immune from the burden of high healthcare costs, though. Thanks to rising deductibles, co-pays and premiums, patients are taking on more financial responsibility, and 74% are worried about covering out-of-pocket costs. Nearly half of U.S. adults expressed concerns about affording their monthly insurance premiums. When medical bills go unpaid, provider revenue can take a serious hit. Uncompensated care is a huge financial burden for providers. The American Hospital Association reports that hospitals have provided almost $745 billion in uncompensated care since 2000. Patients often have additional insurance coverage that could help close the gaps, but they've either forgotten about it or are unaware of their eligibility. Finding missing coverage is a top priority for providers who want to ensure revenue streams stay in check — especially as healthcare costs continue to rise. Benefits of resolving missing health insurance issues Resolving missing health insurance issues has many benefits for both providers and patients, beyond verifying that services are covered and medical bills are paid. These include: Reduces claim denials: Claims denials are on the rise, and missing coverage is a top reason, according to Experian Health data. Incorrect or incomplete information can result in errors on claim forms or providers sending claims to the wrong payer. Finding missing coverage before claims submission reduces errors, denials, delays and rework. Minimizes wasted staff time: An eligibility recheck is needed when providers discover an incomplete claim, due to a change in active benefits after claims submission. With 43% of providers reporting that eligibility rechecks add at least 10 additional minutes per claim, finding missing coverage in advance is critical to freeing up valuable staff time. Improves the patient experience: Patients are often confused about what insurance covers and what they'll be on the hook for out-of-pocket. More than eight in ten patients say pre-service price estimates help them prepare for the cost of care. When providers are able to find missing coverage during insurance discovery, patients are more likely to receive accurate upfront estimates. Complete and transparent pricing allows patients to prepare for the cost and avoid any surprises, while accelerating collections for providers. Tools and strategies to find missing health insurance Insurance eligibility checks help providers verify insurance status, coverage details and benefits in advance. However, performing insurance checks isn't always straightforward, and often requires searching for missing coverage. Patients sometimes forget to let providers know about secondary coverage or insurance changes. Or, coverage can be forgotten because a patient has moved to a new house, changed states, switched employers or signed up for a different policy. In some cases, patients may be misclassified as self-pay or have only one form of insurance. Providers can improve their insurance eligibility verification process and discover missing health insurance at every stage of the revenue cycle with the following strategies: Implement digital insurance discovery solutions Outdated manual systems are often error-prone and make finding missing coverage a labor-intensive task for already overburdened staff. Automated eligibility verification solutions offer a more streamlined approach to finding missing coverage faster with more accurate results. Tools like Experian Health's Coverage Discovery work across the entire revenue cycle and search government and commercial payers to find previously unknown insurance coverage. Using multiple proprietary data sources, advanced search heuristics and machine learning, it reliably identifies accounts that may be submitted for immediate payment under primary, secondary or tertiary coverage. Watch the video to see how Coverage Discovery helps healthcare providers find previously unidentified coverage – while saving time and money. Streamline patient intake and updates Matching patient information to payer databases starts at registration. However, patient information, including insurance coverage details, can change anytime. Patients may switch insurers, move states or change their contact information. Catching errors before a claim is submitted is key to keeping the revenue cycle moving and collections. Providers often can't keep up with changes or may struggle with tool overload, with nearly 60% of providers reporting using at least two different tools to gather the necessary patient information for claim submission. Digital tools, like Experian Health's Patient Access Curator, can help solve for bad data quality with real-time correction. This solution uses artificial intelligence (AI) and performs eligibility, COB, Medicare Beneficiary Identifier (MBI), demographics and discovery in a single solution, to ensure that all data is correct on the front end. Patient Access Curator also interrogates 271 responses to indicate any secondary or tertiary coverage data. Other tools, like Registration Accelerator, puts the patient in control of inputting and updating information. Using an automated link, patients can enter their personal details and insurance information from their mobile phone or the web-based app, with no login required. Providers can prompt patients to complete registration details during the initial intake process and send reminders to update information that may have changed, like an address or insurance policy, when follow-up appointments are scheduled. Provide accurate upfront estimates The lack of accurate care estimates is an ongoing challenge for both providers and patients. According to Experian Health data, four in 10 patients report spending more on healthcare than they could afford. When providers don't have access to the most up-to-date patient insurance information, or coverage is missing, estimates are often incorrect and patients end up with surprise bills. Inaccurate estimates create a negative patient experience, resulting in unpaid bills and extra work for staff to resubmit claims or chase down collections. However, tools like Eligibility Verification can help providers easily confirm coverage, co-pays and deductibles at the time of service. When armed with real-time coverage data, providers can build more accurate estimates and help patients prepare for the cost of care. How technology makes finding missing health insurance easier 43% of Experian Health's State of Claims survey respondents say that eligibility checks take 10 to more than 20 minutes to complete. Eligibility checks are taking longer, are filled with more errors, and only 54% of providers feel their claims technology can handle current revenue cycle demands. Using technology at every step of the revenue cycle helps providers bridge the gap between front-end eligibility checks and back-end claims management. Digital tools, like Coverage Discovery, fit anywhere into the revenue cycle, allowing providers to easily check for health insurance through the patient journey, not just at registration. Emerging AI and automation tools also help providers find missing health insurance faster. Automated eligibility verification solutions, like Experian Health's Eligibility Verification, seamlessly check insurance benefits across 900 payers using advanced patient matching tools. Patient Access Curator uses AI-based data capture technology to return real-time data in a single click from hundreds of payer responses, allowing providers to quickly verify active coverage, billing information, plan level details, and more. Case studies: See health insurance discovery in practice How UCHealth secured $62M+ in insurance payments and saved $3.5M+ in 2022 with Coverage Discovery How Luminis Health used Coverage Discovery to find $240K in billable coverage each month How Providence Health found $30M in coverage and reduced denial rates with automated eligibility checks Learn more about how automated health insurance discovery helps providers find missing health insurance, reduce claim denials, improve cash flow and deliver better patient experiences. Learn more Contact us

Published: March 6, 2025 by Experian Health

No matter how much the healthcare industry evolves — whether through new legislative priorities or advances in AI and automation — one thing remains constant: the patient experience matters. Patients expect quality care, quickly. For five years running, timely access has been a top priority for patients, according to Experian Health's State of Patient Access surveys. But efficiency is just the start. In an uncertain world, patients also need reassurance, reliability and compassion. For revenue cycle leaders, meeting these expectations isn't just about good service. It's a competitive advantage. A patient experience built on empathy, convenience and personalization fosters loyalty and trust, driving both satisfaction and financial performance. With the right digital tools, providers can take meaningful steps toward improving the patient experience. What is patient experience and why does it matter? The patient experience encompasses every step the patient takes while seeking and receiving medical care. It goes beyond the clinical aspects of care and includes all the systems and strategies that determine a patient's access to care. From the moment they book their appointment through their clinical care and final bill payments, each interaction is an opportunity to make or break a patient's satisfaction with their provider. The patient experience can be a major driver of health outcomes. Inefficient systems lead to missed appointments, while confusing billing practices cause patients to postpone care. Adherence to care plans is more likely when patients are engaged and informed. And when patients feel positive about their healthcare experience, there are trickle-down effects for staff, who have more time to focus on priority tasks. It's also vitally important for an organization's financial outcomes. A positive patient experience increases patient retention, reduces billing disputes and accelerates payments. Research shows this goes both ways: well-implemented revenue cycle management improves the patient experience, too. What does a quality patient experience look like? Alex Harwitz, VP of Product, Digital Front Door, at Experian Health, says that a high-quality patient experience should encompass three things: “Choice, flexibility and convenience are themes that have come through strongly in our patient surveys. Patients are more mobile and more digitally active, so they expect services to be available on demand. They have a diverse range of schedules, responsibilities and preferences, and providers need to accommodate these variations so accessing care feels easy and convenient. Providers that leverage digital technology to deliver a patient-centered experience will see higher levels of patient engagement, better health outcomes, and a healthier bottom line.” Key strategies for improving the patient experience For healthcare providers, there's always a new delivery challenge around the corner. But it's also getting easier to improve the patient experience, thanks to digital technology. Here are five practical ways to make an immediate difference: 1. Reduce wait times Long wait times frustrate patients and lead to last-minute cancellations, which hurt revenue. Online self-scheduling, pre-visit digital check-ins and automated appointment reminders help keep schedules on track and reduce no-shows. According to the State of Patient Access 2024, these tools are also a smart way to meet patient expectations: 89% of patients want the ability to schedule appointments anytime, via online or mobile tools. 2. Streamline administrative processes with technology Manual data entry slows everything down. Patients dislike repetitive paperwork, while human error is a frustratingly common cause of denied claims, especially when that paperwork starts to pile up. Digital tools eliminate much of the hassle and allow staff to work more efficiently. Automated patient intake accelerates the admin tasks, so patients get the care they need without delay, and providers can keep revenue flowing without unnecessary roadblocks. 3. Improve communication between patients and providers Confusing communications are a major pain point for patients, and billing is a prime example. With 43% of patients saying they may postpone or cancel care if they don't get an accurate cost estimate, providers have an opportunity to stand out from the competition by offering clear and compassionate financial communications. Upfront estimates, proactive financial counseling, and digital payment options ease patients' anxiety, prevent disputes, build trust and increase collections. 4. Increase healthcare access with automation and AI Insurance hurdles are another source of frustration for patients. Uncertainty over coverage, eligibility and out-of-pocket costs can impede access, lead to billing disputes and increase the risk of claim denials. Manual verification is time-consuming for staff and often leaves patients waiting for answers. Automation and AI can eliminate these bottlenecks. For example, Patient Access Curator uses machine learning to verify and update all patient information with a single click. Watch the webinar: Revenue cycle leaders from Exact Sciences and Trinity Health share how they use Patient Access Curator to redefine patient access 5. Personalize patient care A key point to remember is that patients only care about what's relevant to them: a one-size-fits-all approach is not going to increase patient satisfaction scores. Using data to anticipate patient needs, like flexible payment plans, personalized reminders, or a choice of payment methods, improves the patient's experience and reassures them that they're with the right provider. How technology is revolutionizing the patient journey Here are a few examples of how healthcare organizations are using digital tools to put these strategies into practice: Indiana University Health used Experian Health's Call Center Scheduling solution to increase call center capacity and boost provider, staff and patient satisfaction by improving efficiency and reducing appointment-type scheduling errors. Guided scheduling led to a 114% increase in patient utilization in just one year. UCHealth helped more patients qualify for financial assistance using Patient Financial Clearance, which automates presumptive charity screening. The tool disbursed $26 million in charity care and covered more than 1,700 patients. On-demand webinar: Learn how Community Health System used Experian Data to drive financial assistance automation. Prioritizing patient-centered healthcare The way the patient experience is delivered may change, but its role as a driver of trust, loyalty and financial stability does not. As patients become more mobile and digitally active, they expect care that fits into their busy lives — available on demand and tailored to their needs. By using digital technology to offer choice, flexibility, and convenience, providers can make care easier to access, strengthen relationships and improve both health outcomes and financial performance.  Find out more about how Experian Health's digital solutions help healthcare organizations improve the patient experience. Learn more Contact us

Published: February 20, 2025 by Experian Health

Nearly 46% of patients say being able to manage their health online is their top priority in accessing care, according to Experian Health's State of Patient Access 2024 survey (SOPA). However, the availability of a “digital front door” in healthcare – with online scheduling, mobile registration, and frictionless payments – is not yet meeting demand. Many patients still face convoluted booking systems and stacks of repetitive paperwork. Meanwhile, consumer-friendly tech and retail giants are edging into healthcare. As disruptors set new standards for simple and convenient care, traditional providers are under pressure to open their digital front door to remain competitive. Many are already investing in AI and automation to simplify workflows, cut costs, and upgrade the patient experience. Could 2025 be the tipping point for healthcare's digital transformation? A digital front door strategy could help more providers boost patient engagement, simplify the patient experience and increase profitability. What is a digital front door? The digital front door is more than a well-designed website. It's a single point of access that gives patients convenience, choice and control at every touchpoint in their healthcare journey. It promises patients faster appointments, fewer headaches and more coordinated care. From their mobile device or computer, they can log in to schedule visits, sign intake forms, update insurance details, see costs upfront and even settle their bills. It's secure, easy to use and lets patients handle tasks on their own time. On the back end, patient-facing digital tools can integrate into the provider's existing systems to improve workflows, reduce manual tasks and generate analytics to simplify care. What are the key benefits of implementing a digital front door? Patient satisfaction: According to SOPA, 60% of patients want more digital and mobile options for communicating with their provider, scheduling appointments and managing payments. Fewer no-shows: Patients are less likely to cancel or no-show when they can schedule and manage appointments that work for their time and needs. Frees up resources: Automating repetitive administrative activities means staff can focus on higher-value activities. Fewer errors: Manual processes are rife with data entry errors that increase the risk of denied medical claims and add time on the back end to resolve. Digital patient intake saves time and money by reducing opportunities for human error. Essential features of an effective digital front door What are some of the digital must-haves to simplify access to care? The checklist might include: Online appointment scheduling, to make it easy to book, reschedule, or cancel appointments Digital tools to complete pre-visit paperwork – even better if these automatically prepopulate patient info to save them time and reduce errors Transparent pricing, with tailored information delivered directly to the patient A choice of payment methods, including familiar digital options so patients can pay quickly Access to a patient portal or central hub for managing appointments, medical records and prescriptions Mobile-friendly interfaces and simple designs, so patients can see key data at a glance, from any device, without needing to be tech-literate Secure and compliant communications to protect patient data and privacy. Where to start with a patient-centric digital front door Three specific tools that would check off the above include the following: 1. Multi-channel patient scheduling What matters most to patients is being able to see their doctor quickly. Online appointment booking gives them the 24/7 self-service scheduling options they expect. It delivers quantifiable gains for providers too. For IU Health, automating patient scheduling has been shown to do the work of two full-time schedulers, with more than 35,000 appointments booked with self-scheduling. Experian Health's patient scheduling software guides patients to the appropriate provider and appointment while keeping the provider in control of their calendar. It integrates with a provider's website, call center, and physical office so patients can book their next appointment, even outside of office hours. On-demand webinar: See how IU Health increased one-call resolutions with Patient Schedule 2. Registration Accelerator 49% of providers say that a primary cause of denied medical claims can be traced back to errors in patient registration, forcing health systems to divert revenue to remediate claims that could have been avoided. An automated, data-driven patient registration process improves accuracy, making costly errors less likely. With Registration Accelerator, patients get a text when it's time to register, instead of completing forms in the waiting room. There's no need to download an app or create a user profile: they scan the data from their identity and insurance cards, and Registration Accelerator takes care of the rest. 3. Patient Financial Advisor The SOPA report shows that almost seven in ten providers believe their patients postpone care at least occasionally because they don't understand the cost of care. Eight in ten patients agree that accurate estimates help them prepare to pay. While price transparency is improving, too many patients still find themselves with bills that are higher than expected. Patient Financial Advisor delivers a pre-service estimate of the patient's financial responsibility based on real-time benefit information directly to their mobile device. It takes account of current provider pricing, payer contracted rates, and any relevant discounts or payment plans for greater accuracy. A secure payment link allows patients to settle their bills quickly and conveniently, at any time. Read more: How to maximize patient collections with digital technology Choosing the right partner for digital transformation Implementing a successful digital front door strategy comes down to one key factor: keeping it laser-focused on the patient. When choosing a vendor, providers should ask how the platform will make life easier for patients. Will it encourage proactive engagement? Is it easy to navigate and demonstrably secure? And on the back end, will it integrate smoothly with the provider's existing systems and workflows – and even improve them? The right partner will bring specialized expertise for a digital transformation, with the capabilities to meet both patients' and providers' needs. Find out how Experian Health's Patient Access solutions help healthcare providers open their digital front door to simplify patient care across the entire revenue cycle. Learn more Contact us

Published: January 6, 2025 by Experian Health

The growing shift from inpatient to outpatient care continues. The U.S. ambulatory services market was estimated at USD 289.5 billion in 2023 and is projected to grow at a CAGR of 5.38% from 2024 to 2030. A Deloitte study notes that the gap between inpatient and outpatient revenue has been closing for two decades. But what's driving this boom? Clinical advances, patient demand for lower-risk and lower-cost options and payer pressure all play a role. New technologies, like advances in orthopedics, allow more procedures to be performed at outpatient service centers instead of costly hospital settings. Free-standing ambulatory surgery sites are expected to see a 14% volume boost over the next decade as more service lines, like cardiovascular and neurosciences, begin to shift procedures from inpatient to outpatient facilities. The ongoing growth in outpatient services presents a unique opportunity for revenue cycle leaders to use technology to improve outpatient revenue—and the overall patient experience. Grow outpatient revenue with more digital care Patients want a better experience at every step of the patient journey. They want to see their doctor faster, manage appointments online and understand how much it costs—with as little red tape as possible. A lack of streamlined patient access and transparency often results in no-shows, a rise in claims denials, wasted staff time and patient complaints. However, by opening the digital front door, providers can give patients the self-service tools they crave, improve the care experience, keep outpatient schedules full and increase revenue. Additionally, providers can use technology like artificial intelligence (AI) to lower claim denial rates. Here are five strategies to increase outpatient revenue in 2025. 1. Make patient access simple Patients want to see their doctor faster. In Experian Health's latest State of Patient Access survey, eight in ten patients who reported being unhappy with their provider experience cited waiting for an appointment as a top complaint. When trying to schedule, patients are also frustrated by the friction that comes with complex processes, clunky technology systems and sparse provider communication. Outdated manual workflows, staffing shortages and lack of staff training often result in challenges for both patients and providers. Improved patient access is at the heart of patient-centered healthcare. Technology designed to put the patient in control, like online patient scheduling and digital patient intake tools, offer continuous patient engagement, optimized scheduling, and streamlined administrative processes. By leveraging modern patient access solutions, providers can improve patient experiences and alleviate the impact of staffing shortages. 2. Reduce appointment no-shows Missed appointments cause headaches for patients, providers, and revenue cycle managers. Online scheduling and mobile registration are also top of mind for patients. In Experian Health's State of Patient Access 2024 survey, 89% of patients said they wanted self-service scheduling and 85% reported a dislike for filling out repetitive intake paperwork. Online patient scheduling software puts patients in the driver's seat, providing convenient and secure 24/7 access to book, reschedule, and cancel appointments on their own time. Solutions like Patient Schedule sync seamlessly to an organization's scheduling rules, and patients receive automated appointment reminders by text or IVR. On average, providers that use Experian Health's scheduling solution experience an 89% show rate, a 50% reduction in scheduling time, and a 32% increase in patients per month. Patient intake tools like Registration Accelerator simplify mobile registration with a streamlined text-to-mobile experience. Once registration is complete, automated returns of forms, patient-check-ins and demographic information ease the burden on staff. 3. Help patients prepare for outpatient costs Patients need a clear breakdown of their financial responsibility before receiving care. Without it, they may be unable to prepare for care costs appropriately. While hospitals are now required to share detailed pricing for at least 300 common procedures, confusion around a patient's actual financial responsibility still persists. More than half of patients report turning to their provider for help understanding what insurance covers. Digital solutions that provide accurate, upfront estimates empower patients. More than eight in ten patients say pre-service estimates help them prepare for the cost of care. Patient Payment Estimates provide upfront, real-time estimates of what a patient will owe. Providers can offer convenient and secure payment links, and allow patients to pay their bills online or see customized payment plans. Outpatient providers can further maximize the chance of reimbursement by running health insurance coverage checks across the entire revenue cycle. This can help find billable coverage that may have been forgotten and give patients greater certainty about what they'll owe. 4. Automate healthcare collections Collections are often a major challenge in the outpatient revenue cycle. Outpatient procedures can be costly, even with insurance, leaving patients responsible for potentially large bills. Automating healthcare collections allows for faster, more efficient, and more compassionate collections. Tools like Collections Optimization Manager helped Novant Health achieve an overall recovery rate of 6.5% and increase revenue and cost savings to a rolling average return on investment of 8.5:1. With automated tools like Patient Financial Clearance, providers can assess patients' ability to pay and assign them to an appropriate financial pathway. This allows patients to quickly get the assistance they need while freeing up valuable staff time. 5. Streamline claims to increase outpatient revenue Denied claims continue to be problematic for providers. In Experian Health's State of Claims 2024 report, which surveyed 210 healthcare revenue cycle leaders, nearly three-quarters of providers feel claims denials are increasing, while 67% feel getting paid is taking longer. Claims management software can help end the cycle of denials. However, around half of providers still use a manual claims review process, and only 28% feel confident in their understanding of automation, machine learning and AI. Adopting automated and integrated healthcare claims management solutions can reduce errors, prevent undercharges, and ensure a higher first-pass payment rate. Tools like Experian Health's ClaimsSource® simplify the entire claims process, while Claim Scrubber helps providers submit more accurate claims. Digital solutions can also automate claim status monitoring and eliminate manual denial processes. Implementing AI tools to interpret past claims data and recommend next steps can improve outpatient claim denial statistics. Tools like AI AdvantageTM look at past payer behavior and historical claims data to predict and prevent denials. AI Advantage's two components, Predict Denials and Denial Triage, help providers respond to growing denial challenges by identifying claims with a high likelihood of denial before submission, and focus on remits that have the most impact. See how: Find out more about how Experian Health's revenue cycle management solutions can help healthcare organizations increase outpatient revenue, keep pace with growing patient volumes, improve patient satisfaction and boost their bottom lines. Learn more Contact us

Published: December 2, 2024 by Experian Health

Lines at the desk, phones ringing off the hook and a stack of insurance questions waiting to be resolved — this is the daily reality for many patient access teams. Today's patients find these "front door" bottlenecks in healthcare particularly frustrating, especially since they can envision how much smoother the process could be with the digital apps and tools they rely on in other areas of their lives. Despite improvements in patient access, Experian Health's latest State of Patient Access survey suggests that the digital front door in healthcare is still only partially open. Drawing on these survey findings, this article examines how opening the digital front door in healthcare can address common pain points in patient access, improve operational efficiency and better meet the needs of modern healthcare consumers. What is the digital front door in healthcare? Scheduling a doctor's appointment should be as easy as using a food delivery or ride-sharing app. That's the idea behind the digital front door in healthcare. Giving patients secure digital options to book, register and pay for care puts control in their hands so they can manage their care anywhere, anytime. It's part of a larger digital transformation in healthcare, making it easier for patients to connect with services quickly and conveniently. At the same time, it improves efficiency and profitability for providers. From websites and portals to mobile apps, this approach creates a friendly, accessible entry point that focuses on what patients need: simplicity, convenience, and transparency in their healthcare journey. Top pain points in the healthcare digital experience While previous State of Patient Access reports exposed frustrations with patient access, the 2024 survey shows a glimmer of hope. Self-scheduling options are on the rise and telehealth is reducing friction. Patients and providers agree that access is getting better and credit digital tools for many of the improvements. That said, challenges remain. Top 3 pain points for patients Seeing their doctor quickly (27%) Understanding how much their care will cost (17%) Trying to schedule appointments (14%) Top 3 pain points for providers Maintaining staffing levels (45% vs. 55% in 2022) Efficient and timely management of prior authorizations (39%) Improving speed and accuracy of resolving patient information prior to claims submission (31%) When it comes to future priorities, patients and providers agree that accurate pre-service price estimates and clarity around insurance coverage are the top two. Providers believe they're getting better at providing accurate estimates, and while 74% of patients say they did receive accurate estimates, this is down from 78% the previous year. It's a good reminder that the digital front door isn't just about online scheduling: using digital tools to help patients understand and prepare for their bills is a key component. Patients and doctors want more — not fewer digital services The 2024 report reaffirms previous findings that patients want more digital options for managing their healthcare: six in ten say this is important. And among providers, it's clear that digital front door technology is seen as a critical driver of improvement in patient access. Here are just a few ways providers say they're using digital tools to reduce friction: Expanding telehealth services Introducing digital/mobile patient communications Launching patient portal services Enabling online and mobile payment tools Implementing digital self-service registration and online/mobile self-scheduling Mitigating staffing shortages is a major benefit. Staffing issues have lessened since the peak of the pandemic, but remain an obstacle to effective scheduling and registration for 72% of providers. Automation and self-service patient access tools help alleviate these pressures. How digital solutions improve patient access and satisfaction “These digital tools make healthcare more accessible by eliminating barriers and simplifying patient-provider interactions,” says Alex Harwitz, VP, Digital Front Door, at Experian Health. “Automation can take care of repetitive tasks that take up staff time, so staff can focus on helping patients directly. Real-time scheduling, accurate cost estimates and streamlined mobile options meet patients where they are and give them the control and flexibility they want.” Bottlenecks, wait times and costly errors go down, while patient satisfaction is higher. 3 solutions to improve the digital front door Harwitz suggests three ways to use the digital front door to eliminate friction in the patient journey: 1. Simplify patient scheduling Patients' litmus test for patient access is how quickly they can see their doctor. To help patients quickly find and book the earliest available appointment, healthcare organizations turn to Experian Health's Patient Schedule software. This 24/7 digital scheduling platform guides patients to the right appointment and provider in line with scheduling and business rules. Patients can easily cancel and reschedule if necessary, and no log-in is required, so new patients can get started instantly. Automation optimizes scheduling capacity, so no appointment slots are wasted, improving call center efficiency. There's also the option to incorporate automated text, interactive voice response and email reminders so patients don't forget their appointments, which will increase completion rates and reduce gaps in care. 2. Speed up registration times Patients don't want to sit in waiting rooms and fill out manual paperwork, and healthcare staff have limited bandwidth to handle high patient volumes. Tools like Registration Accelerator can streamline the registration process, by reducing manual efforts and paperwork for patients and staff. This patient intake solution sends an automated link that allows patients to register anywhere, and at any time. Patient Access Curator uses AI-powered data capture technology to collect and verify patient information at registration, reducing the need for manual input. In a single click, the tool runs simultaneous inquiries to capture: Eligibility verification Coordination of benefits Medicare Beneficiary Identifiers Coverage discovery and patient financial status Patient demographics Not only does this accelerate the registration process for patients, but it also gathers clean, accurate data for downstream claim submissions. This technology has prevented over $1 billion in denials since 2020. Watch the webinar: How Patient Access Curator is transforming claims management from the front end of the revenue cycle. 3. Provide more accurate estimates With 96% of patients looking to their provider to help them understand their insurance coverage, the demand for better financial communications is clear. More than 80% of patients say accurate upfront estimates help them plan for costs. If they feel they can't afford to pay, 43% say they would consider postponing or canceling care. Lack of clarity is a health risk as much as a financial one. Experian Health created Patient Financial Advisor and Patient Estimates to help providers improve price transparency. Healthcare providers can use these tools to generate precise cost estimates based on real-time pricing information and offer convenient online payment options to expedite collections. Patients can get a personal estimate, customized payment plan and submit a payment in a few clicks. This addresses patient concerns about affordability and transparency, while ensuring providers remain compliant. See it in action: the digital front door in the real world How IU Health used guided scheduling to boost patient satisfaction and improve operational efficiency even as patient volumes increased. How Banner Medical Group uses Patient Estimates to boost patient satisfaction and meet compliance requirements. The evolving digital front door in healthcare The digital front door in healthcare isn't just a single entry point — it's a constantly evolving way to connect with patients, bridging digital and real-life interactions. By tackling common challenges like outdated booking systems, unclear financial statements, lengthy waits and limited payment options, healthcare organizations can create a smooth, patient-friendly experience that boosts satisfaction, builds trust and improves results for everyone involved. Learn more about how Experian Health's digital front door solutions tackle the most common pain points in patient access and deliver convenience, clarity and control. Learn more Contact us

Published: November 27, 2024 by Experian Health

As more Americans feel the squeeze on their household budgets, paying for healthcare is a growing concern. A 2024 survey by Pew Research Center found that the number of Americans who rate their personal finances positively has dropped from 50% to 40% over the last three years, with nearly 60% of Americans now saying their financial situation is "fair" or "poor." A West Health-Gallup poll revealed that 35% of US adults would struggle to afford care, with some cutting back on essentials like utilities or food to pay for medical expenses. To address and mitigate these financial pressures, healthcare providers must take proactive steps to support patients and avoid a shortfall in collections. Patient payment plans can help patients manage costs without delaying or skipping necessary care. Providers that go the extra mile to improve the patient experience will boost patient attraction and retention rates, reduce collection costs and support the financial health of their patients and their organizations. The growing importance of healthcare payment plans Cost concerns often influence patients' perceptions of their providers. In Experian Health's State of Patient Access 2024 survey, 54% of patients who thought patient access had deteriorated over the previous twelve months said it was because they were less able to afford care. On the flip side, 32% of those who thought patient access was better said it was because payment plans made care more manageable. Healthcare payment plans allow patients to spread out the cost of their medical expenses into smaller, more manageable chunks, instead of paying the full amount at once. Previous research by Experian Health and PYMNTS confirms that patients welcome the flexibility, convenience and reassurance that this offers. This is particularly true of patients who would struggle to pay an unexpected bill: up to a fifth of these patients would switch providers based on the payment experience alone. The clear message for providers is that patients who struggle to pay bills—especially unexpected bills—are more likely to need healthcare payment plans and to seek out a provider that offers them. How flexible patient payment plans improve satisfaction By letting patients pay at a pace that works for them and their budget, payment plans reduce stress and create a more supportive and compassionate financial experience. When patients know they have options, they're more likely to stay on track with payments and feel more satisfied with their overall care. A major advantage is that these plans can be tailored to each patient's unique situation. For example, with PatientSimple®, patients can use a self-service portal to generate pricing estimates and explore suitable payment plans to make a more informed decision about how they'll pay for care. They can break down bills into smaller and more affordable payments, rather than facing the daunting prospect of a single large bill. Using Experian Health's unmatched data and advanced analytics, PatientSimple offers a richer understanding of each patient's propensity to pay, helping providers make better decisions about the optimal financial pathway for each patient. Patients can access their bills and statements online at any time. This is more convenient for them and frees up staff to give more attention to patients with more complex circumstances. Key benefits of healthcare payment plans for patients and providers Improving the patient experience with healthcare payment plans also translates into financial and operational benefits for providers. Helping patients navigate their financial responsibilities more easily — especially through automation and software-based tools — increases cash flow, reduces admin burdens and boosts overall efficiency. Here are a few examples of how payment plans and other financial tools can benefit patients and providers: 1. Patient Financial Clearance automatically screens patients to determine eligibility for Medicaid or other financial assistance programs. Calculating the optimal payment plan based on the patient's ability to pay gives patients more affordable options and providers more predictable revenue streams. Increasing access to financial assistance also increases access to care, as patients are more likely to follow care plans, leading to better health outcomes. Case study: How UCHealth wrote off $26 million in charity care with Patient Financial Clearance 2. Patient Financial Advisor and Patient Estimates give patients a pre-service, personalized breakdown of what their bill is likely to be, using accurate chargemaster data, payer rates and real-time benefits information. This upfront clarity makes it easier for patients to plan for payments, while providers benefit from fewer payment defaults and improved patient trust. And with fewer bills ending up in accounts receivable, providers can reduce the manual effort needed to manage outstanding balances. 3. Helping patients reduce out-of-pocket expenses is another way to achieve a better financial experience, boosting loyalty and retention. Coverage Discovery® finds any forgotten or overlooked commercial and government coverage, so no costs that should be covered elsewhere fall to the patient. The tool scans for potential coverage from pre-service through the entire accounts receivable file, and automates self-pay scrubbing to detect discrepancies that can be quickly corrected. Accounts that were previously destined for collections, charity or bad debt are instead submitted for payment. Case study: How Luminis Health found $240k in billable coverage each month with Coverage Discovery 4. Finally, removing friction from the payment process will always be a win with patients and providers. Consumers increasingly rely on mobile and contactless payment tools, so it makes sense to offer similar options in healthcare. PaymentSafe® allows providers to collect any payment securely and quickly. Patients can pay anytime and anywhere, while providers benefit from faster, more reliable revenue collection. Maximizing patient experience with effective healthcare payment plans Payment plans aren't just a financial lifeline for patients. They can make or break the whole patient experience. Alex Harwitz, VP of Product, Digital Front Door, at Experian Health, explains the importance of healthcare payment plans and why offering flexible payment options is at the heart of improving the patient experience: “Our most recent State of Patient Access report confirms that many consumers are concerned about how they'll handle their healthcare bills. Having a plan to make costs more manageable can immediately alleviate some of that stress. Providers have an opportunity to step up and help them figure out the best financial pathway.” He says, “At Experian Health, we use data and automated technology to help providers identify patients who need extra assistance and direct them toward appropriate support. Providers that don't offer payment plans, estimates and other financial solutions will struggle to attract and retain patients who can't pay upfront and risk more patient accounts being written off as bad debt.” Paying bills will never be an enjoyable part of the patient journey, but clear and compassionate healthcare payment plans make it easier. With the right technology, providers can simplify and accelerate the collections process, foster patient trust, and most importantly, allow patients to focus on their health instead of their bills. Prescribe the right financial pathway for your patients with Experian Health's industry-leading patient collections technology. Learn more Contact us

Published: November 19, 2024 by Experian Health

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