#United States #Gaithersburg #CERTIFY Health #Outpatient Pressure Index #Financial Pressure Index

Unveiling CERTIFY Health's Revolutionary Benchmarks for 2025

In a significant development for the healthcare industry, CERTIFY Health has announced the launch of two groundbreaking national benchmark reports: the Outpatient Pressure Index 2025™ and the Financial Pressure Index 2025™. This dual release aims to provide a comprehensive understanding of the operational and financial challenges faced by healthcare organizations across the United States.

A New Lens on Healthcare Operations

The Outpatient Pressure Index 2025™ offers an unprecedented view into the operational friction prevalent within ambulatory care settings. By harnessing patient data and real-world performance metrics, the report conclusively highlights that the struggles within healthcare extend beyond clinical capacities; they also encompass significant operational bottlenecks.

Kevon Kothari, CEO of CERTIFY Health, emphasizes, "We created these indexes to quantify the daily pressures providers encounter. From inadequate check-in processes to inconsistent payment timelines, these challenges are now measurable rather than merely anecdotal."

Some key findings from the Outpatient Pressure Index include:

• - Digital patient intake can decrease check-in times by approximately 60%.
• - Electronic insurance verification can be completed in less than one minute, compared to a manual process that takes between 8 to 24 minutes.
• - Clinics employing AI-driven reminders have witnessed a drop in no-show rates by as much as 38%.
• - Introduction of secure patient messaging has led to an 80% reduction in post-visit call volumes.

The report also sheds light on how different medical specialties experience distinct pressure dynamics. For instance, urgent care is grappling with throughput issues, while women's health faces challenges related to communication, and dermatology deals with ambiguities regarding coverage.

Financial Pressures Revealed

Complementing the operational insights, the Financial Pressure Index 2025™, backed by CERTIFY Pay, addresses the prevalent issue of cost complexities influencing patient experiences. This index critically evaluates the evolving financial burdens that adversely affect accessibility to care.

Some alarming statistics from the Financial Pressure Index include:

• - A staggering 58% of insured adults have encountered at least one coverage issue over the past year.
• - One-third of adults with high-deductible insurance plans behave as though they are uninsured until meeting their deductibles.
• - Only 22% of patients who utilized payment plans received any form of discounted medical care.
• - Furthermore, 66% of Americans indicated they would consider switching healthcare providers if greater price transparency was available.

As articulated by Cameron Blaylock, VP of Healthcare Payments at CERTIFY, “Financial pressure isn’t just an individual patient issue—it jeopardizes the stability of practices themselves. We designed CERTIFY Pay to foster a transparent, compassionate, and immediate approach to affordability, and this report underscores the importance of that mission.”

Transforming Healthcare Experience

The introductions of these benchmarks are timely, as they reflect broader trends about how patient billing intertwines with overall care quality. Issues such as transparency in payments, confusion surrounding insurance benefits, and the erosion of patient trust are critical barriers that healthcare organizations must navigate. The implications extend well beyond administrative drawbacks; they can ultimately impact patient outcomes and access to healthcare services across various sectors, including behavioral health, urgent care, and diagnostics.

Conclusion

With CERTIFY Health at the helm of this initiative, the healthcare industry is poised to gain a clearer understanding of the operational and financial pressures that shape the patient experience. The insights derived from these benchmarks can provide healthcare leaders with the data-driven foundation they need to implement meaningful changes, thereby enhancing both operational functionality and patient satisfaction. As the landscape continues to evolve, the emphasis on transparency and streamlined financial interactions will be crucial for sustaining growth and ensuring patient care quality across the board.