Economic-Driven Barriers

What are the economic barriers?

 

Speed of Reimbursement

  • Have we optimized claims filing and invoicing?
  • Have we reduced invoice aging?
  • What is our collections rate for old invoices?
  • What have we done to improve this?

Uninsured/Under Insured Patients

  • Do we know our share of uninsured/under insured patients?
  • Do we know the financial impact on operations? 
  • What are we doing to reduce that impact?

Fractional Reimbursement via Medicare

  • Have we optimized claims filing and invoicing?
  • Do we know our share of Medicare patients?
  • What are we doing to reduce that impact?

Cost of Operation

  • How are liability and infection control costs impacting operation costs?
  • Are staff costs rising?
  • What is the impact of government regulations and mandates on operation costs?
  • How we optimized supply costs?

Competitive Alternatives

  • Are we losing high margin business to outpatient clinics or ambulatory surgical centers?
  • Is our market crowded with too many hospitals?

Cost Shifting

  • Are we overcharging for reimbursable items to compensate for losses elsewhere?
  • Have we achieved pricing transparency?