Assertion certainty 3/5 debate potential 1/5

Otto: Hospital operating margins typically hover between 1% and 3%

Florian Otto · Why 50% of Every Dollar Billed Is Lost In Healthcare · Jul 14, 2023 · at 6:51

Florian Otto, CEO of Cedar, explains why small percentage gains in patient collections have a massive impact on hospital bottom lines.

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“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.”

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More from Florian Otto

Assertion Partly supported
Otto: 50% of invoiced healthcare dollars are uncollected
“Around 50% of every dollar that is being invoiced is being uncollected.”
Florian Otto Jul 14, 2023 ▶ 3:17 Why 50% of Every Dollar Billed Is Lost In Healthcare
Disclosure
Otto: Cedar infers patient job class and demographics for billing outreach
“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?…”
Florian Otto Jul 14, 2023 ▶ 5:10 Why 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 Otto Jul 14, 2023 ▶ 2:39 Why 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 Otto Jul 14, 2023 ▶ 4:29 Why 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 Otto Jul 14, 2023 ▶ 5:43 Why 50% of Every Dollar Billed Is Lost In Healthcare
Assertion Supported
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 Otto Jul 14, 2023 ▶ 6:28 Why 50% of Every Dollar Billed Is Lost In Healthcare
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