
CASE STUDY
Leveraged Analytics to Drive Increase in Contribution Margin for Medicare/Medicaid Provider
Challenge
A provider of dual Medicare/Medicaid eligibility services was unintentionally eliminating eligible potential enrollees. The company sought to optimize outreach and enrollment processes to profitably maximize revenue yield.
Approach
The SSA & Company team deployed an Economic Activity Analysis to map and measure the operational and economic value of enrollment activities. We used advanced analytics techniques to mine and map activity workflow volumes and conversion probabilities created a marginal cost model that identified the point where outreach efforts became unprofitable, and uncovered that strategic process & policy changes could decrease the current cost per approval and shift the cost curve to allow for deeper mining of the member population at a lower cost.
Results
New strategy yielded 16% in incremental contribution margin with only a 3-month payback period
Increased overall approvals by an additional 10%
Related Services
Results
New strategy yielded 16% in incremental contribution margin with only a 3-month payback period
Increased overall approvals by an additional 10%
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