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Patient Access

Solutions designed to help with the tasks associated with patient registration, including determination of insurance eligibility, determination of propensity to pay or charity care needs, preauthorization, estimation of patient responsibility costs, and point-of-service collections.

Subject Expert
Dustin Cragun
VP of Revenue Cycle Research
KLAS VP of Revenue Cycle Research - Dustin Cragun
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Latest Related Report

Patient Access 2021: How Well Do Enterprise EMR Vendors Meet Organization Needs?) Report Cover Image
Performance
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Patient Access 2021: How Well Do Enterprise EMR Vendors Meet Organization Needs?
09 December 21
Due to the ever-increasing complexity of revenue cycle management, organizations have historically had to supplement patient access functionality from their enterprise EMR vendor with third-party revenue cycle vendors. But with the push toward software consolidation, organizations would like their enterprise EMR vendors to further develop patient access capabilities and better meet customers’ growing needs. This report examines the patient access offerings of enterprise EMR vendors<sup>†</sup> Cerner, Epic, and MEDITECH and shares customers’ perception of how well positioned these vendors are to deliver functionality currently provided by third parties. To view performance data for third-party vendors, click <a href="https://klasresearch.com/compare/patient-access/210"><u style="font-color:#005cb9">here</u></a>. <p style="font-size:.85em;">† KLAS was unable to interview a sufficient number of Sunrise Financial Manager customers to include data for Allscripts’ patient access offering.</p> <div class="row" style="margin-top: 5px; background-color:#f5f5f5; padding:15px;"> <h4 style="color:#656565;"><strong>What Is Patient Access?</strong></h4> <p>For the purposes of this report, patient access functionality includes address verification, cost estimates, coverage discovery, eligibility verification, medical necessity, prior authorizations, propensity to pay, registration QA, and scheduling. KLAS acknowledges this functionality is closely related to other areas like patient experience improvement, patient financial engagement, and patient intake management. To access data about these additional areas, view the relevant market segments on the KLAS website.</p> </div>

Report Abstract

Key Findings

  1. What is Patient Access?
  2. High Customer Satisfaction with Epic; Cerner Clients Struggle to Integrate with Third Parties
  3. Epic Customers Eager for Future Development; Cerner Customers Unsure of Long-Term Patient Access Needs Being Met
  4. Integration, Ease of Use, and Support Drive Epic Customers’ Satisfaction
  5. Cerner Perceived as Struggling to Deliver New Technology
  6. Majority of MEDITECH Customers See Success with Patient Access


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Performance Data

Overall Score by Product

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Products Appearing in Decisions

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Overall Score by Question Topic

Example Patient Access overall score by question topic image

Provider Facility Size by Product

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Provider Facility Type by Product

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Current Time Inside Cache Tag Helper: 11/21/2024 2:40:52 AM and Model.SegmentId = 210
Related ReportsView All Reports
Performance
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Automated Prior Authorization 2023
24 January 23    |   Dustin Cragun and Tyler Sycamore
Prior authorization is mandated by payers to ensure that certain clinical procedures and medications being ordered are necessary. To alleviate the heavy administrative burden this requirement causes, healthcare organizations have adopted automated prior authorization solutions. For this report, KLAS interviewed 30 respondents from 26 unique organizations to understand their experiences using these solutions and what outcomes they have seen.
Perception
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Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare. The merger remains unfinalized, however, as the US Department of Justice blocked the deal in February 2022 due to anticompetition concerns—such a merger would give UnitedHealth Group, Optum’s parent company and the nation’s largest insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and scheduled to go to trial August 1, 2022. This report shares Optum and Change Healthcare customers’ reactions to the merger and their perceptions of its impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from 46 unique organizations; of these respondents, 9% are Optum customers, 56% are Change Healthcare customers, and 35% are customers of both vendors.



Reducing Filters

Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.

This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.

We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.

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