A healthcare service provider faced increased Opex and decreased revenue due to costly and inefficient operating structures. The company needed to assess its operations to identify benefits through more cost-effective and efficient operating structure for payments.
The SSA & Company team assessed the company’s end-to-end payment integrity process to identify opportunities to increase capacity without expanding the workforce. We captured and validated data from two operating businesses to define the current-state landscape and fully assessed the technology platform and data quality to develop technology platform modernization and master data management. Using PCR segmentation, we aligned the effort level to increase savings per case and recovery speed and implemented quick win improvements to the technology platform.
Identified 5% in total benefits via Capacity Optimization, Labor Arbitrage, and Span of Control
Eliminated unprofitable Provider-Client relationships
Identified 5% in total benefits via Capacity Optimization, Labor Arbitrage, and Span of Control
Eliminated unprofitable Provider-Client relationships
A healthcare services firm needed to create an operations strategy to re-engineer revenue and internal operations engines to achieve planned synergies of the acquisition.
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A provider of risk-adjustment/HEDIS chart retrieval, coding/abstraction, and analytics was faced with significant declines in margins due to reduced demand and increased competition.
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A healthcare service provider faced customer attrition due to poor quality of the customer experience and misalignment between organizational stakeholders.
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