Medicaid redetermination isn’t going smoothly. As of late December 2023, the Kaiser Family Foundation found that 71% of Medicaid disenrollments nationwide were for procedural reasons. That means patients are losing coverage because they filled out a form incorrectly or missed a deadline, not because they’re truly ineligible for renewal.
As states disenroll millions of individuals from their Medicaid rolls, small and medium sized health plans with managed Medicaid plans face multiple risks. Their Medicaid members are losing access to care, many of them erroneously, with 72% of membersbeing disenrolled for procedural reasons.
Practical AI Deployments can Enable Health Payers to Improve Efficiencies, Cut Costs, and Improve Stakeholder Experiences
Modernizing the financial experience is about more than payment: it requires a comprehensive approach that includes pre-registration activities and extending the streamlined digital experience into the point of care.
Identifying the right payer before a healthcare service is provided and billing on time, reduces costs, prevents bad debt and maximizes reimbursements and revenue.
Recent data from the CMS indicates that Medicaid enrollment grew by nearly 10 million between February 2020 and January 2021. The jump was precipitated by a combination of factors, including the economic fallout of the pandemic and the Coronavirus Relief Act adopted by Congress that gives states extra federal money to keep people on Medicaid rolls until the end of the public health emergency.
Firstsource Transaction Services, LLC announced its contact center, located at 5725 Mark Dabling Blvd., Ste. 200, Colorado Springs, CO 80919, is hiring 300 new customer care representatives to join its award-winning team. The new hires will focus on providing top-quality customer experiences and improving processes for the company’s healthcare client base.
Amherst, NY and Irvine, CA: Firstsource Transaction Services, LLC, part of the Firstsource Solutions Limited Global customized Business Process Management (BPM) services family, and Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions for health plans participating in Medicare Advantage, Medicaid and Marketplace programs, today announced they have entered into a partnership to strengthen health plans in handling their increasingly complex back office operations.
MedAssist, a provider of revenue cycle solutions for hospitals, and Gaffey Healthcare, a provider of automation technology for hospital revenue cycle, today announced a partnership. The partnership enables MedAssist hospital customers a path to improve their net revenue position. MedAssist will begin leveraging the Gaffey AutoStatus technology to achieve greater efficiency in parts of the claims management process.
Synexus, the world’s leading Site Management Organisation (SMO), has appointed Firstsource (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL@IN), an RP-Sanjiv Goenka Group company and a global provider of customized Business Process Management (BPM) services, to review and support its customer communication touchpoints across the UK with the aim of creating real time responsiveness and dialogue, leading to an enhanced patient experience throughout the clinical trial process. The customer win marks Firstsource’s entry into the UK’s burgeoning healthcare industry.
Firstsource Solutions Limited (NSE:FSL, BSE:532809), a global provider of customised Business Process Management (BPM) services and a RP-Sanjiv Goenka Group company, has won two prizes at the UK Customer Experience Awards 2015 held in London recently.