Part II: Patient Payment Optimization Planning

With High Deductible Health Plans (HDHPs) and out-of-pocket payments on the rise, healthcare providers need to review and examine their patient payment processing systems. While every case is different, there are some common questions asked and themes that arise with a thorough review of a payment process.

Assess Your Current Processes

You can't build a roadmap without first charting where you are. A basic review can be broken down into quantitative and qualitative parts.

Begin with an analysis of performance metrics—such as financial performance, operational efficiencies, etc.—as well as an overview of payment outlets, types, systems and workflows. Another critical step is looking into your processes analytics capabilities. Is your data as accurate as can be? Finally, ensure that your processes are compliant with regulation.

While providers may process many payment types via many payment outlets, it is important to identify those which function sub-optimally, relative to performance metrics. The qualitative evaluation can include assessment of slow A/R days, high processing costs, or a high amount of people-time to post.

Develop Objectives and a Plan

Set individual goals for future performance with specific metrics revolving around financials, operations, reporting, analytics and compliance. Develop a timeline for improving specific payment outlets and activating specific payment types. Give you and your team realistic benchmarks with reasonable deadlines.

Identify a process for evaluating third party vendors of services and solutions required to build out payment outlets, plug payment gaps, improve reporting and drive compliance. Address qualitative and quantitative performance by payment type and outlet.

Most importantly, keep evaluating processes and goals. Ensure you're up to date with the latest technology and regulatory issues, which are constantly changing. Maintain current metrics and schedule regular touch points to ensure you're on track to reach your objectives.

Want to know more about patient payment optimization?

Read a how-to guide: Part I: Healthcare Payment Optimization Best Practices »

Download the white paper: Key Trends in Healthcare Patient Payments »

To learn more about how J.P. Morgan's financial solutions for the healthcare industry can help you, please contact us or call your Commercial Banker.
Healthcare Insights

Explore articles, white papers and online seminars for Healthcare

Read more


Copyright © 2014 JPMorgan Chase & Co. All rights reserved.