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    Case Study
    Contract Manager,
    Payment Estimator

    Midwestern Health Network Identifies $40 Million in Underpayments in Seven Years

    Business issue

    A midwestern health network sought to manage underpayments from payers that threatened revenue and cash collections.
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    Before FinThrive

    Increase in underpaid claims due to outdated legacy contract management system

    Lack of insight into government payer reimbursement rates

    Climbing bad debt

    Escalating collection costs

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    Solution Highlights

    Automates entire contracting process, calculates net A/R at claim submission, and identifies accounts with suspected underpayments

    Autogenerates reports that help monitor accurate payer performance and quickly identifies variances that warrant follow-up

    Provides timely, accurate, patient-friendly estimates across the point of access

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    Customer Overview

    8 hospitals and more than 120 outpatient facilities

    12,000 employees and 2,100 physicians

    FinThrive Value

    $40M

    $40 million in underpayments identified in seven years; More than 95% recovered

    ↑$6.1

    $6.1 million increase in upfront cash collections

    50%

    Up to 50% of payments collected at point of service

    “We’re fortunate to have a revenue management partner so we can focus on our patients and our community. We’ve been able to improve standardization, optimize revenue cycle performance and enhance high-level effectiveness in payer contract modeling and management.”

    Vice President
    Revenue Management and Patient Accounts

    Revenue management without limits

    FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.

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