Revenue is critical for all businesses, but hospitals and health systems have been hit hard with inflation and labor shortages. And before that – COVID. Health leaders are tasked with strategically uncovering new revenue opportunities and assessing the potential returns on investment. To make confident business decisions, data is necessary. In your analyses, using claims healthcare data analytics that includes both what’s happening inside and outside your facilities provide market insights that you wouldn’t have otherwise. Would you like to know who’s getting the most referrals? Or maybe who is getting the most of a specific procedure?
With the right data, you can keep on top of the market and it’s revenue potential.
Using data, you can check if other health systems are negotiating better reimbursements by payers for specific procedures. How does the care setting affect those reimbursement? If there is any money being left on the table, you can be prepared with the numbers for contract negotiations. With claims data you can answer these questions:
Use market data to look at the competitive landscape and to determine where market opportunities are. The right market data allows you to analyze the presence of an entity that you might want to acquire, determine whether you should enter a new market or expand market share by offering a new service.
If you’re considering opening a new outpatient cardiology center, you can determine the number of procedures by care setting by using the appropriate service or sub service line. You can determine if there is enough need to justify the new facility. You can also use claims data to look for pockets of need which may only need some additional marketing. Claims data can answer these questions:
For everyone’s sake, Hospitals and health systems must adapt in tough times. Claims data can give you insights to help you make informed strategic decisions and discover new avenues for revenue.
Read this case studyon strategic planning in healthcare to learn how Lehigh Valley Health Network used claims intelligence to support growth initiatives after an acquisition.
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