Eliminate Surprise Medical Bills!

Hospitals face over $45 billion (6.1% of total expenses) in bad debt in 2012, which is an 11.6% increase from 2011.¹ We estimate physician groups have 11% bad debt, which is over $77 billion. With growth of high deductible plans, bad debt is increasing and creating major cash flow shortages. A June report from Citi Enterprise Payments, part of financial services giant Citigroup, found that patient financial responsibility under their health plans is now approaching the 15% to 20% range, when it was previously in the 6% to 10% range. An analysis from Citigroup projects that bad debt could reach $200 billion by 2019.²

According to the 2013 Deloitte Center for Health Solutions survey of major US companies, 54% of employers are considering offering high-deductible health plans as the only benefit option in 2014. Already, 17% of employers offer high deductible plans as the only options, a 31 % increase over 2012. Hospitals expect more patients will have greater out-of-pocket costs under high-deductible plans offered through the new health insurance exchanges under the Affordable Care Act.  When consumers pay more for their healthcare, they often make more cost-conscious choices. However, this wave of high deductibles means a significant change in cash flow for physicians and hospitals. It is time to implement a new solution to better manage billing.

Changing the Payment Process

To protect cash flow, reduce bad debt, and improve communications with patients concerning their medical financial responsibly, Enablemyhealth delivers the UpFront™ solution. UpFront empowers your front office to collect what is due prior to or on the day of a visit or procedure and enables patients to be better informed about expenses their insurance benefits do not cover. UpFront empower Patients to realize their potential medical expenses, understand their medical benefits, and manage their medical expenses for all their medical care. With Upfront patients enter demographic and insurance information, request appointments, validate benefits, estimate and validate medical expenses, pay medical expense, track medical expenses, and securely communicate with groups, hospitals and clinics. Never before has one solution dramatically change the physician-patient financial relationship in such a mutually beneficial way.

Eliminate Surprise Medical Bills!

Unexpected medical bills have become the norm in healthcare. With the enactment of the Affordable Care Act, healthcare plans have become very complex. Patients get upset and this negatively impacts patient satisfaction and even patient care. Physician groups and hospitals are then in the position to collect payment from a patient who doesn’t think they owe. This is a broken process that requires a fundamental change in patient billing – we call it the UpFront process!

Moving the Process UpFront!

Providing patients medical estimates prior to medical services is beneficial to patients, medical groups, imaging centers, and hospitals. Patients know how much the medical service, procedure or test costs them prior to having the service or procedure, so they can plan for any out of pocket expense that their insurance will not cover. Physicians and hospitals are able to offer payment plans and collect estimated payments before or at the time of service, which keeps administrative costs low and allows patients to spend less time in the office.

Insurance Checking, Collections Management, and Notification

Entering insurance, validating insurance, and collecting patient payments is a laborious process. Enablemyhealth checks insurance and engages the patient and staff throughout the entire process with our intelligent notification engine that calls, texts, and emails to entering or reviewing key insurance information and notifying them to make payments on outstanding balances. No more worrying about insurance not being valid or required authorizations, or invalid credit card – Enablemyhealth alerts the patient and staff until the problem is resolved. All of the notification messages and settings are customizable.

Insurance Checking

Insurance information is electronically validated for primary, secondary, and tertiary payers when a patient insurance is added or updated, an appointment is added, and an estimate is saved. Patients and staff are notified if insurance is invalid, cannot be validated, or to enter or check their insurance or payment method. If an authorization is required, notifications are also sent. Patients and staff have access to all returned benefits coverage information. Each type of notification event is customizable to call, text and email.

Notifications

Notifications can be customized by facility based on these parameters: (1) phone call, email and/or text message, (2) frequency of notifications by day of the week, (3) number of notifications, (4) custom script with inserted data fields, and (5) type of voice. Notifications can automatically be escalated, if there is no response.

Collections and Payment

Enablemyhealth will manage contacting the patient for both estimates and patient balances. Patients are able to pay online using credit card or bank payments (ACH). Payment plans can be offered with or without fees and automatically charge a patient’s card or bank account. Payments can be allocated to charges and estimates. Financial information can be exchanged with the billing system. When a patient has an outstanding balance, the system will automatically begin notifying the patient to make a payment. Notifications will continue until the balance is $0 or until it is turned off.

Trusted, Secure Collaboration

Enablemyhealth provide physicians, staff, therapists, radiologists, and patients with medical collaboration tools to communicate clinical information with text, images and video. Clinical information can be shared by simply adding a provider to the patient’s CareTeam. Here are some of the features we provide for free:

Careboard™ enables healthcare providers and patients share patient medical information, notes, files, images, and video. Simply click Post, Images or Video to post clinical information for a patient and organize the information by diagnosis or custom category. This feature works just like Facebook, but it is secure for each patient and only accessible to the patient’s selected Care Team members. Selective Care Team members can receive email or text notifications, when new information or comments are added.

Nationwide Provider and Organization Directory with Custom Web Pages enables patients to find providers by specialty, location and name. All doctors, dentists, and other healthcare providers are already listed in the directory. Background information, services, and insurance can be added by each healthcare organization. Join for free and update the background and office locations.

Secure messages with file attachments can be sent to and received by any provider, employee or patient nationwide. Every provider, group, hospital, and clinic is already in the Enablemyhealth directory. Email or text notifications alert staff or providers of new messages.

Request and Manage Appointments by locating a provider and clicking on the time and date you want the appointment. Groups can set appointment availability and manage their own schedules for each provider at each office location. Patients can confirm or cancel appointments and are reminded of their next appointment via text or email message.

Manage Family Insurance, Medical Chart and Clinical Information for you and your family. Patient demographics, insurance, medical notes, images, current medications, allergies, past procedures, and past diagnosis can be entered and updated by the patient and Care Team. Parents can access spouse and children accounts to manage their care.

Share Files with any CareTeam member via secure messaging or as part of the Patient’s Chart.