EHRs and Consumer Self-Pay Remain Top Revenue Cycle Challenges for Hospital and Health System Executives
25 September 2019 - 1:00PM
Business Wire
Navigant survey conducted by HFMA shows IT budgets growing as
providers focus on revenue integrity, robotic process automation,
and external collaboration for revenue cycle improvements
More than 60% of providers struggle to derive optimal value from
their electronic health records (EHRs), and 85% believe the
increase in consumer self-pay will continue to impact their
organizations, a Navigant (NYSE: NCI) analysis based on an
executive survey conducted by Healthcare Financial Management
Association (HFMA) finds.
According to the survey of 108 hospital and health system chief
financial officers and revenue cycle executives, 62% suggest EHR
adoption challenges have been equal to or outweighed benefits
specific to their organization’s revenue cycle performance, up from
56% in 2018. In addition, more than half of executives say their
organizations can’t keep up with EHR upgrades or underuse available
EHR functions.
Consumer self-pay concerns also persist for provider executives.
Eighty-five percent of respondents – including all large hospital
executives – believe the increase in consumer responsibility for
healthcare costs will continue to affect their organizations, up
from 81% last year but down from 92% in 2017.
In an ongoing effort to better manage these challenges, 69% of
executives predict their organization’s IT budgets will increase
over the next year, up from 68% last year but below 74% in
2017.
Improving revenue cycle performance
When asked which strategies they’ve already implemented to
successfully decrease revenue cycle costs and increase economies of
scale, 46% of executives selected collaboration with external
entities, including outsourcing and vendor partnerships. In
addition, one-in-four of both health system and large provider
executives cited advanced health IT, including robotic process
automation (RPA).
“It was anticipated that EHRs would be the main driver of broad
performance improvement, but that has not occurred in many cases,”
said Timothy Kinney, managing director at Navigant. “Instead,
providers are now taking other steps, including looking outside
their organizations to collaborate with external entities and
leveraging advanced technology solutions, and they’re seeing
successes.”
Executives also suggest their organizations have implemented
solutions to better engage consumers on healthcare costs, offering
comprehensive financial counseling and payment plans (40%) and
online portals for price estimates and payment (32%).
Integrating revenue cycle operations with clinical operations is
an area where providers aren’t seeing enough success – just 3% of
respondents feel their organizations have been entirely successful
at doing so.
Continued focus on IT capabilities
Moving forward, the majority of executives (87%) again suggest
they’re most focused on technology-related capabilities to drive
future revenue cycle improvements. Revenue integrity was the top
area of focus for the third straight year, cited by 28% of
executives, a 21% increase from 2017. Furthermore, RPA saw a major
jump among health system executives – 15% cited the capability,
which wasn’t selected by any health system executive in 2018.
“New technologies leveraging RPA, artificial intelligence, and
machine learning have unlocked significant opportunities to reach
previously unattainable levels of revenue cycle performance,” said
Navigant Director Kent Ritter. “As we’ve learned with EHR
implementations, there are no silver bullets. These tools are not
‘plug and play,’ and the ability to integrate operational and
technical expertise remains key to provider success.”
Navigant’s Healthcare segment is comprised of consultants,
former provider administrators, clinicians, and other experts with
decades of strategy, operational/clinical consulting, managed
services, revenue cycle management, and outsourcing experience.
Professionals collaborate with hospitals and health systems,
physician enterprises, payers, government, and life sciences
entities, providing strategic, performance improvement, and
business process management solutions that help them meet quality
and financial goals.
About Navigant
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global
professional services firm that helps clients take control of their
future. Navigant’s professionals apply deep industry knowledge,
substantive technical expertise, and an enterprising approach to
help clients build, manage, and/or protect their business
interests. With a focus on markets and clients facing
transformational change and significant regulatory or legal
pressures, the firm primarily serves clients in the healthcare,
energy, and financial services industries. Across a range of
advisory, consulting, outsourcing, and technology/analytics
services, Navigant’s practitioners bring sharp insight that
pinpoints opportunities and delivers powerful results. More
information about Navigant can be found at navigant.com.
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version on businesswire.com: https://www.businesswire.com/news/home/20190925005104/en/
Kyle Bland Navigant Investor Relations 312.573.5624
kyle.bland@navigant.com
Alven Weil Navigant 704.995.5607 alven.weil@navigant.com
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