Case Study: Kingman Regional Medical Center improves value-based care and reimbursement with MEDITECH

Kingman Regional Medical Center improves reimbursement with MEDITECH and 99% payer roster accuracy

Kingman Regional Medical Center (KRMC) sought to advance its value-based care initiatives by improving patient management and clinical quality metrics. The healthcare system partnered with vendor MEDITECH to implement a robust, KPI-driven solution using MEDITECH's Ambulatory and Business and Clinical Analytics solutions. The challenge was to identify areas for improvement to enhance care quality while optimizing financial reimbursement from payers.

With MEDITECH, KRMC streamlined clinical workflows for better data capture and adopted new strategies for preventive health. This included creating specialized registries and dashboards, which helped close care gaps. A key result was achieving 99% accuracy in reconciling payer data. The collaboration also identified significant reimbursement opportunities, such as addressing a quarterly $16K shortfall in diabetes care measures, and established a foundation for future quality initiatives.

Kingman Regional Medical Center