.svg){kind=small}
AI-powered Matching & Enrollment Ensures Optimal Philanthropic Reimbursement, including COVID-19 Aid Programs
Federal and state relief programs designed to mitigate the devastating impact of the COVID-19 pandemic on businesses and families are coming to an end just as millions of people are losing jobs and health insurance. Alarmingly, U.S. jobless claims pushed past 40 million — the equivalent of one out of every four American workers.
While America’s hospitals and health systems have stepped up to meet the challenges created by the pandemic, they now face unprecedented financial pressures due to cancelled elective procedures and postponed routine care.
During these challenging times, we’ve upgraded Atlas Navigator to help bring financial relief to patients struggling with coverage and extraordinary out-of-pocket expenses and enable health systems to better withstand financial losses.
Optimizing Reimbursement
Atlas Navigator is our proprietary AI-powered financial counseling service that finds non-traditional coverage options to deliver maximum reimbursement. By capturing the highest number of aid programs available and wrapping this availability with sophisticated matching, easy integration, comprehensive workflow and quality reporting, we offer health systems these key benefits:
- Increased revenue
- Cost-savings
- Reduction in patient A/R days
- Lower operating overhead
- Improved workflow automation
- Enhanced financial navigator
- Improved patient experience
- Higher levels of compliance
Our upgrade includes new features that ensures no reimbursement opportunity is missed, displays proprietary confidence scores and reimbursement estimates for enhanced forecasting and resourcing and adds COVID-19-specific programs to our best-in-class medical aid database.
Atlas Navigator now utilizes smart web crawler technology to sweep all medical financial aid programs every few minutes, triggering real-time email alerts when a program becomes open for enrollment. The email alert includes links directly to eligible patients in the Atlas system with pre-filled applications ready to submit in a few clicks. With some programs rapidly opening and closing within hours, these real-time alerts give financial counselors the opportunity to enroll patients in programs they might otherwise miss.
Because each reimbursement opportunity is associated with a date by which a patient must be enrolled, a claim must be dropped, or a date by which a medication must be ordered, Atlas Navigator maps each program coverage window to each matched account. When financial counselors adhere to those dates and deadlines, they can work in order of chronological priority to convert charity care or bad debt to revenue for the healthcare system. This is a critical imperative to reduce uncompensated care and improve free cash flow.
In Atlas’ most recent press release, Sean Krausz, senior manager, Revenue, Risk & Audit, Palomar Health, says, “With skyrocketing unemployment and millions of people losing health insurance, this upgrade could not have come at a better time. It brings financial relief to patients struggling with coverage and extraordinary out-of-pocket expenses, helping health systems like ours to withstand the burdens and material losses associated with COVID-19.”
Forecasting Reimbursement Opportunities
Using constantly changing programs and patient data points, historical enrollment and reimbursement outcomes and a proprietary machine learning algorithm, Atlas Navigator now surfaces estimated reimbursements and enrollment confidence scores for each individual account. Access to these scores and estimates allows health system administrators to forecast reimbursement opportunities and prioritize worklists in order to allocate appropriate resources for philanthropic reimbursement projects.
Our upgraded platform reflects our passion to improve cost savings for patients and health systems with AI-first technology that reduces the cost of enrolling any patient in any program.
We share those savings with our health system partners to help them better support the communities they serve. For patients, this translates into improved access to lifesaving treatments they may have otherwise not been able to afford.
