MILWAUKEE, March 8, 2023 – At a time when 41% of U.S. adults have some form of healthcare debt, Health Payment Systems, Inc. (HPS)|PayMedix announced its PayMedix healthcare financing solution increases cash yield for healthcare organizations by as much as 9.5%, based on analysis reviewed by the Validation Institute.
The savings encompass a healthcare organization’s total commercial allowed revenue, including both insurance and consumer out-of-pocket balances due. Providers do not re-negotiate pay or contracts or re-tool their existing revenue cycle processes. Instead, providers simply agree to participate with PayMedix and receive guaranteed payment. For a hospital with $200 million in commercial revenue, the PayMedix savings would yield $16 million in additional annual cash.
Validation Institute is an independent, third-party organization dedicated to improving the quality and cost of healthcare. The review affirms that PayMedix’s ROI calculator produces a reasonable estimate of a healthcare provider’s savings using the PayMedix platform for commercially insured payments.
By guaranteeing prompt full payment to healthcare providers and offering patients manageable repayment plans for all allowed in-network costs, regardless of their ability to pay, PayMedix reduces bad debt and increases net cash yield for providers. It eliminates financial risk for providers, as PayMedix assumes full responsibility for collecting patient balances.
“Validation Institute’s review confirms the financial impact of PayMedix’s ability to reinvent and simplify the way healthcare payments are made,” said Tom Policelli, CEO of PayMedix. “Soaring out-of-pocket costs have become a $491 billion problem for the healthcare industry, with providers spending more to collect less. Providers no longer need to chase consumers after services are provided or demand payment before delivering care. By paying providers in full, we drastically reduce bad debt and collection costs. This allows providers to focus on what really matters—providing quality care to all patients.”
In addition to increasing net cash yield, the PayMedix solution also increases patient access to needed healthcare services. Some patients today delay or avoid care due to cost concerns, and that can negatively impact overall healthcare outcomes and costs. PayMedix fixes that problem and thus increases health equity by guaranteeing payment to all providers for all participating consumers – regardless of their individual credit ratings.
Measuring the additional revenue and cash that could be generated by this increase in patient access to services was outside the scope of the Validation Institute study. Any such gains would increase the value of PayMedix to health systems and provider organizations. The Validation Institute review simply certifies that the hard-dollar savings shown in the PayMedix ROI calculator reasonably estimate the savings to providers. PayMedix stands behind these estimates by making full, non-recourse payments to providers based on the model.
Validation Institute’s review of PayMedix’s ROI calculator is also backed by the organization’s Credibility Guarantee. Validation Institute offers customers of the PayMedix solution up to $10,000 guarantee for its claims-based validation. This guarantee confirms that PayMedix will achieve what the validation language says it will achieve.
“PayMedix is solving a critical financial challenge for healthcare providers by increasing their net cash yield and reducing their bad debt,” said Benny DiCecca, CEO of the Validation Institute. “We congratulate PayMedix for its pioneering work in changing the way people access, use, and pay for healthcare.”
About Validation Institute
Validation Institute is an independent, objective, third party organization on a mission to improve the quality and cost of healthcare. Based in Woburn, MA the organization is made up of a network of health benefits purchasers, health benefits advisors, and healthcare solution providers focused on delivering better health value and stronger outcomes than conventional healthcare. www.validationinstitute.com
PayMedix, which began as the financing arm of Wisconsin-based HPS over a decade ago, is the only company solving the problem of high out-of-pocket costs for everyone: providers, patients, employers and TPAs. By guaranteeing payments to providers and credit for all patients, PayMedix is changing the way people access, use, and pay for healthcare. PayMedix has processed more than $5 billion in medical payments for hospital systems and physician practices and can be implemented in conjunction with any PPO or HMO network.
Health Payment Systems (HPS) is a privately held healthcare technology and services organization with solutions that reduce the cost and complexity of the healthcare payments process to benefit providers, employers, patients and TPAs. Headquartered in Milwaukee, Wisconsin, HPS has an independent network of 96 hospital facilities and 27,000 individual providers.