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CASE STUDY:

Platform Strategy, Operations and Development

OVERVIEW
EXECUTION
RESULTS
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Platform Strategy - Overview

SCALE was tasked with a ‘blank slate’ mandate for one of its clients. The Company was stable, had no debt and a positive cash balance, was cash flow positive and growing, but was looking for outside guidance on how to further improve its business and operations.

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Key Initiatives

  • RCM Performance
  • Business Development Program
  • Site Oversight Program
 
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Platform Strategy - Execution

SCALE reviewed the business and identified three key initiatives as well as subsequent initiatives and general strategic recommendations.

Reduce RCM Cost

  • Prepared detailed site-by-site analysis of billing fees, measured as a percent of collections and per visit.
  • Presented a case to the two largest vendors for reduced fees.

Manage Billing Vendors

  • Developed customized billing vendor dashboard showing key metrics such as days to bill, denial rate, down-code rate by Site.
  • Incorporated dashboard into monthly vendor meetings and pressed vendors to improve weak-performing sites.

Medium Term Billing Strategy

  • Compared vendor performance using customized dashboards.
  • Presented rational for in-house alternative. The Company is exploring potential billing company purchase.

Business Development Program

  • Identified a candidate who was eventually hired as a Business Development Associate, saving the Company monthly and referral fees.

M & A Program

  • Developed a list of 200+ targets based on key criteria.
  • Used network of MDs and management to develop warm outreach to each target.

Site Oversight

  • Created an oversight program for ‘start-up’ and ‘turnaround site’.
  • Measured the ‘levers’ that determine profitability and advised which ones needed to be adjusted for each Site.
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Platform Strategy - Results

Cost Savings

  • Secured meaningful cost savings from several vendors totaling approximately $1M.
  • Culture of accountability with billing vendors, moving toward consolidating with best and cheapest vendor. Continue to discuss in-sourcing options.

Established Roadmap for Growth

  • Developed marketing collateral and list of targets based on key demographics.
  • Reached out to several hundred select clients in select states during the first full month of roll-out.
  • Initiated conversations with multiple acquisition targets.

Site Performance Improvement

  • Improved performance at underperforming sites, reducing monthly losses.

The SCALE Difference

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About SCALE

We are a team of healthcare professionals who pair unrivaled business management expertise with comprehensive clinical specialty knowledge. We transform challenge into opportunity and help your business thrive.

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About SCALE

We are a team of healthcare professionals who pair unrivaled business management expertise with comprehensive clinical specialty knowledge. We transform challenge into opportunity and help your business thrive.

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Provider Platform Engagements Since Inception
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Providers Across Our Platform Partners
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States Our Platform Partners Operate Across
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Operational Disciplines and Clinical Service Expertise Offered by Scale

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