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Kodiak Solutions Offers Hospitals Strategic Pricing to Navigate Price Transparency Regulations and Market Pressures

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Kodiak Solutions is providing a technology-driven strategic pricing methodology to hospitals, aiming to assist them in meeting increasing regulatory and market demands for price transparency.Hospitals and health systems are currently navigating significant regulatory scrutiny regarding price transparency, stemming from federal mandates such as the No Surprises Act, new inpatient and outpatient Medicare prospective payment regulations, and tightening rules from the Centers for Medicare & Medicaid Services (CMS). Concurrently, the business pressures on pricing are substantial, with strategy potentially influencing an additional 0.25% to 0.5% of a health system’s net revenue.Tracey Coyne, Vice President and Finance and Reimbursement Strategic Pricing Lead at Kodiak Solutions, highlighted the financial challenges. “The impact of pricing on revenue can make all the difference in a time of incredibly tight margins,” Coyne stated. She added, “Hospitals have never faced more regulatory scrutiny on price transparency, and compliance requires public disclosure of prices in most cases, raising the stakes for making consistent, defensible prices across thousands of procedures and services.”Kodiak Solutions addresses these challenges by partnering with hospital and health system management teams. The company co-develops custom versions of its strategic pricing methodology, with recommendations informed by the provider organization’s existing financial data, analyzed through Kodiak’s Revenue Cycle Analytics platform.This optimized, data-driven pricing strategy is designed to offer health systems several key benefits: improved rates based on the organization’s market position, fee schedules, and payor mix; standardized pricing within and across the organization’s service lines, departments, and care settings; market-based pricing to attract and retain patients; and consistent pricing that is defensible for public disclosure.Hospitals and health systems collaborating with the Kodiak Solutions strategic pricing team receive an electronic upload of new prices, detailed reports on changes in gross and net revenue by facility, department, and payor, and a price inconsistency report.Kodiak Solutions is a technology and tech-enabled services company focused on simplifying complex business problems for healthcare provider organizations. For nearly two decades, as part of Crowe LLP, Kodiak developed its proprietary net revenue reporting solution, Revenue Cycle Analytics. Kodiak also offers a broad suite of software and services to support CFOs in areas such as financial reporting, reimbursement, revenue cycle, risk and compliance, and unclaimed property. The company’s 450 employees serve over 2,100 hospitals and 300,000 practice-based physicians across all 50 states.

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