Case Study: Medical College of Wisconsin achieves $7.53M in recovered underpayments and improved cash flow with Experian Health

Medical College of Wisconsin - Customer Case Study

Medical College of Wisconsin (MCW), a Milwaukee-based multi‑specialty academic practice with more than 1,300 physicians and allied health professionals, lacked confidence that it was receiving accurate payer reimbursements. Complex contract terms, limited in‑house tools, and manual eligibility and benefits verification created inefficiencies, excessive claim research, and preventable denials that hindered cash flow and contract negotiations.

MCW implemented Experian Health Passport Eligibility and Contract Manager & Analysis to automate eligibility checks, validate line‑item reimbursement, model contract scenarios, and manage appeals. The changes improved workflows and A/R valuation, recovered $7.53 million in contractual underpayments over six years, cut eligibility‑related denials by half (and Medicaid rejections by ~75%), increased billing productivity (reducing staffing by two FTEs), and strengthened payer relationships and cash flow.

Medical College of Wisconsin

Marion Livingstone

Executive Director of Clinical Practice Services