How Claims Management Will Save Local Public Health Agencies
How can public health overcome the funding crisis? Health departments have the potential to develop a sustainable revenue stream by billing for all health services.
Effective Billing Generates Substantial Revenue
The Time to Act is Now
Since the economic recession of 2008, nearly every local health department in the country has been forced to layoff workers and reduce community health programs and outreach services. Looming on the horizon in 2014, health reform legislation mandates will dramatically increase Medicaid enrollment, widening the pool of patients seeking health services at local health departments.
Nationwide, local health department budgets cannot support existing staff and health services, much less massive patient increases. Local health departments are forced to ask how they will maintain existing services and plan for the future with steadily decreasing funding and limited resources.
The solution is simple. Local health departments can sustain their own revenues today, rather than rely on outside funding. Departments can do this by introducing a proven private business practice into the public health environment. The process is called Public Health Claims Management and it includes the development of an infrastructure to bill public and private insurers for community services.
Effective billing programs can capture revenue from Medicaid, Medicare, and private insurance that will not only alleviate funding issues, but will allow for staffing increases and an expansion of community health services.