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Case Study
How AtlantiCare Used Escher Health’s Technology to Drive $12M in Revenue
ABOUT ATLANTICARE
AtlantiCare is a non-profit health system based in Atlantic County, New Jersey. It has 2 campuses in over 70 locations. The Hospitals have 628 licensed beds and over 25,000 discharges per year. Over 25% of their patients are low-income and eligible for government programs including Medicaid.
THE PROBLEM
AtlantiCare has an in-house team that handles Medicaid enrollments. During busy times, this team can easily become overwhelmed because they’re handling such a high volume of uninsured patients. It’s not uncommon for the team to be juggling hundreds of Medicaid applications at the same time.
Due to limited bandwidth, the enrollment team is regularly forced to prioritize patients with high-dollar accounts. This leads to other patients falling through the cracks. AtlantiCare wanted to decrease their cost-to-collect while increasing their enrollment rate.
THE SOLUTION
Sandy Gubbine, AVP of Revenue Cycle (and revenue cycle veteran for 20 years) hired Escher Health to retool their Medicaid enrollment program.
Escher Health was able to integrate with the EHR to handle Medicaid enrollments end-to-end. Patients did not need to download an app or sign into a portal, which increased participation by 50%.
Escher Health also monitored Medicaid patients to detect any lapses in coverage. If lapses were detected, Escher Health would initiate high-touch communication to reinitiate the enrollment journey.
Finally, Escher Health provided the management team with detailed, real-time dashboards to track patient progress, employee performance, and program efficiency.
“Medicaid applications are complex. Escher Health’s advanced technology empowered our in-house teams to operate more efficiently and effectively. This has allowed us to keep our Staff employed, engaged, and more productive.”
RESULTS
Within 3 months, the team began seeing improvements in application efficiency. And within 12 months, the results were clear:
– 2x the number of Medicaid applications
– 25x ROI
– $12M incremental revenue over the last 12 months
AtlantiCare continues to partner with Escher Health to optimize and automate the Medicaid enrollment program, while delivering high-quality care to patients.
Learn How Saint Peter's University Hospital Improved Revenue by $13.4 Million
Escher Health's underlying platform was used both by Saint Peter's hospital staff and an existing enrollment vendor to greatly improve the bottom line. Register now, and we’ll email you the full story.
