Challenge
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.
Approach
- Assessed the end-to-end payment integrity process to identify opportunities to increase capacity without expanding the workforce
- Captured and validated data from 2 operating businesses to define the current-state landscape
- Fully assessed the technology platform and data quality to develop technology platform modernization and master data management
- Used PCR segmentation to align effort level to increase savings per case and recovery speed
Results
Eliminated unprofitable relationships with 23% of Provider-Client Relationships (PCR)
Identified 5% in total benefits via Capacity Optimization, Labor Arbitrage, and Span of Control
Implemented quick win improvements to technology platform