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A FAIR way to reduce uncompensated care
Bert Zimmerli1, Todd Craghead, Neera Gupta
1Intermountain Healthcare, Salt Lake City, Utah, USA.
Summary
Intermountain Healthcare redesigned patient encounters to improve charity care. This initiative decreased bad-debt by 11% and boosted approved charity care by 40%.
Area of Science:
- Healthcare Administration
- Health Services Research
- Financial Management in Healthcare
Background:
- Healthcare organizations face challenges in managing patient financial assistance.
- Effective application of charity care policies is crucial for financial stability and patient support.
- Systematic process redesign can optimize healthcare administrative functions.
Purpose of the Study:
- To evaluate the impact of a redesigned patient encounter process on charity care policy application.
- To assess the financial outcomes associated with improved charity care processes.
- To determine the effectiveness of systematic process redesign in healthcare settings.
Main Methods:
- Leadership commitment to a systematic redesign of the initial patient encounter.
- Implementation of clear and timely application of charity care policies.
- Monitoring of key financial metrics including bad-debt expense and charity care approvals.
Main Results:
- An 11 percent decrease in bad-debt expense was observed.
- A 40 percent increase in approved charity care was achieved.
- The redesigned process demonstrated significant financial and patient assistance benefits.
Conclusions:
- Systematic redesign of patient encounters effectively improves charity care policy adherence.
- Optimized financial assistance processes lead to reduced bad-debt and increased patient support.
- This approach offers a scalable model for enhancing healthcare financial management.
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