HIE Return on Investment

HIE participation is not only beneficial for improving patient care coordination, monitoring, disease management and transitions of care; it also provides other important positive returns on investment.

Cost Savings

One of the key ROI benefits is cost savings.

HIE participation eliminates redundant tests and procedures, enabling healthcare organizations to provide care to patients more efficiently, reducing the costs associated with unnecessary or duplicated care. A study published in the American Journal of Managed Care found that HIE participation reduced the number of imaging tests by 27.9% and laboratory tests by 12.1%

roi-1
roi-2

Improved Revenue

15 minutes saved gathering a patient’s medical information in a 3-physician practice opens a $50 appointment daily to each physician’s schedule, for a total of $150/day, totaling $30,000 more in annual revenue after the initial HIE implementation cost.

The opportunity to capture significantly richer clinical documentation enables coding that more accurately reflects severity of patients’ conditions, which can result in improved revenue through higher case mix index (CMI) and risk adjustment scores (RAF).

By improving patient care and satisfaction, providers can attract more patients and expand their market share. A recent report by the Center for Healthcare Research & Transformation found that HIE participation led to a 10% increase in office visits among participating providers.

Additional Benefits

Quality of Care

With access to longitudinal patient data, healthcare providers can make more informed decisions about patient care, resulting in better outcomes and higher patient satisfaction. According to a study by the Department of Health and Human Services, HIE participation improved care quality, leading to a reduction in hospital readmission rates and emergency department visits.

Population Health Management

HIE participation can also provide benefits for population health management. By aggregating and analyzing data across different healthcare organizations, HIE participation can help identify and track health trends, leading to better management of chronic conditions and more targeted prevention strategies. For example, HIE data can be used to identify populations at high risk for diabetes, enabling providers to implement preventive measures and reduce the incidence of the disease.

Value-Based Care

The opportunity to capture significantly richer clinical documentation enables coding that more accurately reflects the severity of patients’ conditions, which can result in improved revenue through higher case mix index (CMI) and risk adjustment scores (RAF). The financial benefits far outweigh the cost of HIE participation.

Promoting Interoperability

Utilizing HIE as a measure for Promoting Interoperability and may support other payer and grant incentives.