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Maximizing Provider Cash Flow &
Minimizing Outstanding Patient Payments through a
Consumer-Friendly, Retail Approach to Healthcare:
The Essential Elements That Must be in Place to Easily
and Quickly Shift to Retail
William Todd AndrosFounder & CEO tevixMD Corp.
“Patient responsibility, the popularity
of high-deductible health plans (HDHP’s)
and the total volume and dollar amount
of patient payments will
continue to rise...
higher deductibles will require
providers to use every tool available to
address the needs and challenges of
patient consumers...**”
www.tevixMD.com 2
The Patient is now your 3rd Largest PayerAfter Medicare & Medicaid*
* Hfma Arkansas Study 2015** -- J.P. Morgan, Healthcare Banking / Patient Payment Optimization.
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DON’T BE A SLAVE TO THE OUTER COMPONENTS.
Build an operating foundation on good data and all the components will improve.
Bad data is like having outdated credit card info - It’s of zero use or value
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INVALID ASSUMPTION: If the patient has insurance the lab will be paid.
Financially lethal belief
Many in healthcare still
embrace this belief
It’s leading the healthcare
industry into financial turmoil
Caused primarily by the
sharp increase in HDHPs
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Finding Insurance ≠ Getting PaidNo Lab is Immune to the Effects of this Trend
Anyone who says they are not feeling it yet
has a rude awakening ahead
...and by then it may be too late
because their competitors will be
well under way and cash rich.
The only solution: patient-centered retail healthcare
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WHAT IS RETAIL HEALTHCARE?
NOT urgent care clinics
popping up everywhere.
It is an approach to doing
business – a mindset
/ a philosophy
Retail Healthcare is here, it is not going away and it is essential to financial success for labs.
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A Retail Approach to Healthcare involves 2 Main Activities
ONE
Collecting from the patient before rendering
services – even if just a portion of it – front-end
and back-end labs alike.
TWO
Competing for and selling to the patient
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Competing for and selling to the patient...
Create a positive patient experience in a number of
ways: through a comfortable PSC; by communicating
via email and text; etc
Billing transparency with patients: help patients
anticipate, manage and track their healthcare costs
Offer payment solutions that actually work for the
patient
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CONSIDER THESE RETAIL CONCEPTS
• Amazon doesn’t ship your order until you pay
• Would you buy a car without knowing the price first?
• Have you ever used reviews to choose a business
or product?
• How often do you see an ad for a medication?
• How often do you shop for the best price?
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INVALID ASSUMPTION: Back-end Labs Cannot Collect Up Front
“Providers have a 70% chance of receiving payment at the time of service if they request it – but only a 30% chance after a patient walks out.”
Academy of Healthcare Revenue
“9 of 10 consumers want to understand payment responsibility up front”
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With the right tools and a
committed shift in SOP
it is an easy process.
Turn in-bound call centers into
OUT-bound call centers!
Yes they can and they must.
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What’s Necessary to Accomplish This?
Good Data – Accurate, verified, up-to-the-minute,
live patient data
Retail-Minded Operating Procedures
The tools to make it possible, easy and affordable
www.tevixMD.com 13
tevixMD Demo
www.tevixMD.com 14
Financial Success in Retail Healthcare
DOES NOT stop with the right tools...
2 Additional things must be in place
that are imperative to success
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ONE: Redefining your SOP
SOP must focus on getting cash in the doorand, at the same time, competing for and selling to the patient.
Create rules for different patient situations:Inability to pay, partial payment, outstanding unpaid balance, etc.
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TWO: Complete Commitment to
across-the-board execution
Every transaction, every timeInsist that the new SOP is followed through directives from the top
Enforce the new procedures Use reports to identify who is bringing in the cash and embracing retail and who is not
The importance of this step cannot be over stated!
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For success, a shift like this requires complete commitment. Nothing less will do.
The commitment must start at the top, migrate down into business operations through directives,
and be regularly enforced.
Walk into a BestBuy and you will find employees following procedures to create the best customer experience
and to compete for your business.
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This is Simple...
Everything you need already exists in the cloud
Generating good data requires only a Driver’s
License or a Name/Zip
The entire process is app-based -- everything is
performed from one screen
There is nearly no IT involvement to set up
Very low capital cost
The app scales easily with volume
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KISS: Keep it Simple for Lasting Results and to Get Cash in the Door ASAP
An immediate, abrupt shift is not necessary
Just get started and generate some cash to keep
your lab alive
Don’t do everything at once
This is an evolutionary process
Turn your cash position around quickly and give yourself breathing room to adopt the next steps.
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An Evolutionary Process...
Add functionality by taking on more aspects of a retail business and creating value from the patient’s perspective.
Next thing you know, your business will be full-blown retail and competing with the best of them.
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A Cash ExampleHere’s what it can look like in terms of cash for your lab
How much are you leaving on the table?
Claims per month: 10,000
Average Claim: $45
Retail Healthcare Approach, at the minimum
Minimum charge /patient: $20
Min cash per month: $200k that’s $10k/day, net cash
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CONCLUSION
Competition is coming to every corner of healthcare, no matter who you are – for many it is already here with devastating consequences.
Retail is the key to financial survival and that means selling value to the customer and getting cash in the door.