Providers are under immense financial pressure because of COVID-19. More than ever, health systems, hospitals and physician practices are assuming the role of a bank, financing the cost of healthcare.
Healthcare is undergoing a financial transformation as a result of the COVID-19 pandemic.
Healthcare providers are under immense financial pressure as reimbursements fluctuate, patient out-of-pocket costs rise, and operating margins compress. More than ever, in today’s pandemic climate, health systems, hospitals and physician practices are increasingly assuming the role of a bank, financing the cost of healthcare.
As a result, the healthcare industry is focused on how providers can remain financially solvent amid these unprecedented changes, affecting the delivery of care and billable services. These changes, though necessary to respond to the COVID-19 pandemic, potentially threaten the financial viability of hospitals and physician clinics, especially those with pre-existing financial challenges and those heavily reliant on revenue from outpatient and elective services.
Hospitals and providers must adapt and operate today under a new normal.
How are healthcare organizations operating under this new normal today? Operating adjustments for healthcare workers may include the following:
Healthcare organizations are focusing more on increasing electronic payments. This results in contactless payments, a safer and healthier form of payment for both the patient and the healthcare worker.
Plus, credits and collections are shifting to an electronic format as well, with the same safe, healthy transactions.
The focus on COVID-19 care and postponing elective procedures over the past three months has resulted in significant lost revenue. Healthcare providers are now concentrating on closing the revenue gap, with a stronger emphasis on cost reduction through automation.
As states and cities begin to reopen the economy, some healthcare providers are experiencing a pent-up demand for services, making efficient and effective payment processes more important than ever.
In addition, healthcare organizations must do all of this while maintaining business continuity. Since March 2020, many healthcare providers have asked staff to work from home, and many patients are seeking virtual care. This has created a disruption in the normal revenue cycle. The goal is to maintain and even generate momentum with these significant changes.
At CommerceHealthcare®, we provide solutions to help transition healthcare organizations to a better electronic payment and reconciliation experience, even in these unusual times – not just for the providers, but also for patients and payers. The organization's solutions help others get out of the business of banking, out of trying to figure out the new normal, and back to focusing on the patient financial experience.
A few of those solutions include Health Services Financing (HSF®), RemitConnect and reviewing your Accounts Payable (AP) strategies. These solutions are meant to integrate with ease into a healthcare organization’s existing revenue cycle and accounting platforms.
Backed by a team of dedicated healthcare finance professionals, our portfolio of revenue cycle, payment and banking solutions are designed to help healthcare organizations reduce costs and improve operational efficiencies while they manage a new way of working.
These CommerceHealthcare® solutions, provided by Commerce Bank, deliver a new perspective on healthcare payment solutions, focusing on receivables, disbursements and lending. We bring innovative banking technology and new best practices to the healthcare industry. Our solutions help providers, while working in a new and different way, streamline financial processes, optimize revenue and payments, and improve cash flow.
Richard Heise, is senior vice president of Specialty Healthcare Services at CommerceHealthcare. Heise brings more than 25 years of experience in healthcare finance and revenue cycle management.
Premiums for Employer-based Health Insurance Increased by 7% in 2024, Says KFF Report
Published: October 9th 2024 | Updated: October 9th 2024The 2024 increase is the same as last year's increase for family coverage. The foundation’s annual survey of employer health benefits also found that only 18% of large employers (200 employees are more) are covering the GLP-1 weight loss drugs.
Read More
Extending the Capabilities of the EHR Through Automation
August 2nd 2023Welcome back to another episode of "Tuning In to the C-Suite," where Briana Contreras, an editor of Managed Healthcare Executive, had the pleasure of chatting with Cindy Gaines, chief clinical transformation officer at Lumeon.
Listen
Florida Gets the OK. But Will Drug Importation from Canada Actually Happen?
March 5th 2024Canadian health officials warn that maintaining a drug supply for Canadians is their priority. The staunch opposition of the U.S. pharmaceutical industry may also be an obstacle to imports from north of the border.
Read More
We conducted our annual State of the Industry survey in the early part of November 2023. The survey had 432 respondents, of whom 56% self-reported working for a payer organization (pharmacy benefit manager, insurer or self-insured employer), 34% for a provider organization and the remainder for government or an unspecified “other” category.
Read More