Florian Otto is the co-founder and CEO of Cedar, a healthcare fintech startup. He explains how Cedar uses patient data inputs to formulate personalized billing strategies.
“And then we know, what is the insurance plan? That's also another data point. So that infers, is it a blue color, is it a white color plan? Then, of course, we know what is the demographics of that, of a certain invention, because we have date of birth, right? And then we have past payment histories or past engagement histories, so we know whether they defaulted already on certain invoices or not. And together with that, you can come up with basically a hypothesis on what is the best outreach.”
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More from Florian Otto
AssertionPartly supported
Otto: 50% of invoiced healthcare dollars are uncollected
“Around 50% of every dollar that is being invoiced is being uncollected.”
Florian OttoJul 14, 2023▶ 3:17Why 50% of Every Dollar Billed Is Lost In Healthcare
Opinion
Florian Otto: Healthcare administration remains stuck in the 1980s
“When you see on the administrative side, I think it's still completely stuck kind of in the eighties, right? So you literally have the fax machine still there. You're still having checks being mailed right and left. And you still have something like prior auth…”
Florian OttoJul 14, 2023▶ 2:39Why 50% of Every Dollar Billed Is Lost In Healthcare
Insight
Otto: Poor Medical Billing Destroys Patient Trust in Healthcare Providers
“So overall, what was really interesting, she basically said, never take me back to that hospital because she lost trust in us. So if the billing is so messed up, she also lost trust in the medical side.”
Florian OttoJul 14, 2023▶ 4:29Why 50% of Every Dollar Billed Is Lost In Healthcare
Disclosure
Otto: Cedar uses multi-armed bandit algorithms to personalize billing follow-ups
“So we use these multi-armed bandits, they're called. And then based on how the patient clicks through the app, that gives us another set of data, which is engagement data. And together with this engagement data, then of course the follow-ups are different. I m…”
Florian OttoJul 14, 2023▶ 5:43Why 50% of Every Dollar Billed Is Lost In Healthcare
AssertionSupported
Otto: $1B health systems collect roughly $50M directly from patients
“So when you consider a health system, for example, of a billion dollars in net patient service revenue, they probably get around fifty million from patients directly.”
Florian OttoJul 14, 2023▶ 6:28Why 50% of Every Dollar Billed Is Lost In Healthcare
AssertionNot checkable as stated
Otto: Hospital operating margins typically hover between 1% and 3%
“And when you before Cedar only had a margin of maybe one or two or three percent, getting additional percent or percent and a half is of course very impactful.”
Florian OttoJul 14, 2023▶ 6:51Why 50% of Every Dollar Billed Is Lost In Healthcare
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