Crowe RCA Benchmarking Analytics Reports
November 2016 Report Highlights
During the third quarter of 2016, more of the financial responsibility continued to shift from insurer to the patient due to increased market preferences for high-deductible health plans, and populations continued to move from uninsured self-pay to insured following the enactment of the Affordable Care Act. Healthcare providers often struggle to adapt to increasing patient responsibility amounts for insured self-pay copays and deductibles, resulting in operational struggles with collection rates on these patient responsibility amounts.
Crowe RCA Benchmarking Analytics Report Methodology
The Crowe Revenue Cycle Analytics (Crowe RCA) benchmarking solution compiles and organizes a daily feed of transaction-level data from the patient accounting systems (PASs) of 660 hospitals. Crowe then performs an account-level link of the PAS data to payer 835 electronic data feeds from 199 of these facilities to generate detailed denials analytics, including calculating the financial impact of payer denials. This report outlines findings based on an examination of key performance indicators (KPIs) related to SPAI patient responsibility, point-of-service (POS) collections, and overall patient collections on commercially insured patients. Crowe also will highlight its methodology on leveraging the use of big data merged with process expertise in improving overall patient collections.
The Crowe Revenue Cycle Analytics (Crowe RCA) solution was invented by Derek Bang of Crowe Horwath LLP. The Crowe RCA solution is covered by U.S. Patent number 8,301,519.