Emergency Department and Strategic Advantage of Benchmarking

By Cory Herendeen, Andrew Holloway, and Daniel Wallace
| 8/11/2015

With the implementation of the Affordable Care Act (ACA) and the voluntary expansion of Medicaid underway, early identification of marketplace trends is more critical than ever. Industry experts often cite survey-based benchmarks to establish emerging trends; however, accessing transaction-level data can provide clearer and more reliable insight into the evolution of the healthcare marketplace. Healthcare providers armed with validated peer group data will be better equipped to measure performance and implement strategic decisions that can position their organization for future success.

Current Emergency Department Trends

Many hospital and health system leaders are particularly interested in the ACA’s impact on their emergency department (ED), including changes in volumes, net revenues, and payer mix. Several trends are starting to emerge in this arena, according to results generated by the Crowe Revenue Cycle Analytics (Crowe RCA) benchmarking program:

  • In Medicaid expansion states, average ED volume increased 7.1 percent from the first quarter of 2014 to the first quarter of 2015, while in nonexpansion states, the increase was 9.9 percent.
  • Average ED net revenue per admit has seen a slight increase of 2.1 percent in Medicaid expansion states while trending flat (down 0.2 percent) across nonexpansion states.
  • In terms of ED payer mix, managed Medicaid in expansion states experienced the largest increase (6.3 percent). In nonexpansion states, managed Medicaid, managed Medicare, and commercial/managed care all increased by 1.1 percent.
  • Commercial/managed care (down 5.7 percent) and managed Medicaid (down 10.2 percent) in nonexpansion states saw declines in average net revenue per case while showing considerable increases in volumes of 19.4 percent and 32.6 percent, respectively. In expansion states, traditional Medicaid average net revenue declined 9.2 percent while seeing volume increase by 26.4 percent. These trends suggest lower ED acuity levels of care for these patient populations.

hc-connection-emergency-250x380These statistics highlight the need for continued education concerning the newly insured population and the use of care settings both inside and outside the ED, such as primary care physician offices and urgent care clinics. Providers should be prepared for and aware of volume increases as well as the resulting financial impact. For example, commercial/managed care ED reimbursement likely is influenced by the steady rise in the number of patients who have selected high-deductible health plans, a trend that is likely to continue through the transition toward consumer-driven healthcare.

The Benefit of Deep-Dive Analysis

To arrive at these ED trends and analyses, the Crowe RCA benchmarking program uses actual daily transaction-level detail that is fed and normalized directly from the patient accounting systems of hundreds of hospitals.

Other surveys also have shown that ED volumes are on the rise. For example, the American College of Emergency Physicians polled its members earlier this year to gauge their observations of ED volumes based on the ACA’s impact. Of the approximately 2,000 ED physician members who responded, 47 percent said they saw a “slight” increase in the number of ED patients, while 28 percent reported that volume had “increased greatly.”1

Although the ED physician survey results are provocative, their subjective nature makes them less actionable than quantifiable information. Benchmarking data that is both validated and compared with industry peers equips hospitals and health systems with the information needed to make strategic decisions leading to strong performance.

The more detailed the level of data, the more targeted actions that hospitals and health systems can take. Crowe benchmarking includes linking the following data at the account level to perform deep analysis, particularly on denials and patient responsibility:

  • Attending physician, diagnosis, and procedure data from 837 electronic submission reports
  • Denials and patient responsibility from payer 835 electronic remit data
  • Financial realization and time to payment/resolution from provider patient accounting systems

Because the Crowe RCA benchmarking program has this level of data combined with the resources to aggregate and extract it, healthcare organizations can use it to measure their revenue cycle performance in real time. While other validated data is based on financial statements, which may be delayed significantly, the Crowe RCA program allows users to gain insight into trends as they emerge.

Furthermore, with close to 500 hospitals as data sources, the Crowe benchmarking program allows for robust peer group comparisons based on factors such as size, region and geography (including Medicaid expansion versus nonexpansion states), facility type, and payer mix. With these metrics in hand, healthcare organization leadership can move beyond best practices and develop meaningful plans to improve performance.


“ER Visits Continue to Rise Since Implementation of Affordable Care Act,” American College of Emergency Physicians, May 4, 2015, http://newsroom.acep.org/2015-05-04-ER-Visits-Continue-to-Rise-Since-Implementation-of-Affordable-Care-Act


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