Eligibility and Enrollment, 340B Savings Case Study

Case Study | August 14, 2024

RCM Vendor Delivers 91% Conversion Rate and Strengthens 340B Savings for Healthcare Provider

A large non-profit healthcare provider in the Midwest who serves vulnerable patient populations was struggling to improve their patient eligibility and enrollment services. One challenge they needed to overcome was meeting the requirements of the 340B Drug Pricing Program. The provider needed help scanning their self-pay inventory to reveal all Medicaid-related accounts to meet the required proportion of Medicaid service days. The provider also needed help during the state’s Medicaid expansion, and with redeterminations during the unwinding of the PHE Medicaid continuous enrollment, and eligibility support with their EMR conversion to Epic. 

Click the button below to download the full case study to learn how Elevate Patient Financial Solutions® provided exceptional and comprehensive eligibility screening — supporting the provider through the state’s Medicaid expansion, the Medicaid unwinding, a complex EMR conversion to Epic, and helping them meet the 340B program’s requirements — all while delivering an average annual 91% net conversion rate.

Net conversion rate