Issue
An industry-leading, technology-driven healthcare services organization sought a management consulting partner to accelerate, design, and support the consolidation and integration of several of their back-office operation centers across multiple geographies.
Challenge
During a period of hyper-growth, our client identified a need to improve payer and patient billing operations within its revenue cycle management function. Multiple areas required attention:
- Multiple internal offices and external vendor integrations within states
- Wind-down processes for external billing vendors and offices closed during consolidation
- Compliance in multiple states
- Streamlining the provider enrollment process to prevent disruptions to the revenue cycle
HPA Solution
The HighPoint team was led by a former McKinsey Associate Principal and a former McKinsey Engagement Manager, both with extensive Healthcare, Technology, and Operations experience.
Working with the client to first prioritize billing office integration, our team then began to assess the healthcare client’s current and target systems, rollout plan, resources, and project management approach. Following those insights, the team then developed an implementation plan to standardize centers of excellence and de-risk the go-live launch, while simultaneously identifying and implementing revenue upside.
Success
HPA’s fast-growing client continued to work with our team to implement recommendations and address further areas for consolidation, launching all go-lives on-time for intended results. The HPA team has also focused on the efficiency and effectiveness of core revenue cycle processes, including enrollment processes associated with their providers.
