Case Study: Goshen Health achieves reduced uncompensated care and improved patient satisfaction with Optum Eligibility and Enrollment Services

Goshen Health Transforms Patient Experiences with Patient Engagement Solutions

Goshen Health, a large Midwest medical center serving underserved patients, faced growing uninsured volumes, long A/R days and limited staff capacity to keep up with Medicaid eligibility and enrollment and ongoing regulatory changes. To streamline Medicaid eligibility and enrollment and improve patient satisfaction, Goshen Health engaged Optum and adopted Optum Eligibility and Enrollment Services®.

Optum deployed onsite, dedicated eligibility and enrollment teams that worked alongside Goshen staff to proactively identify and enroll patients in Medicaid, freeing internal teams to focus on patient care. Over a 10‑year relationship, Optum helped secure acceptance of more than 25,000 accounts (representing over 15,000 patients), obtain approvals for more than $934 million in gross charges at a 96% approval rate, and materially reduce uncompensated care and bad debt while improving patient satisfaction.

Goshen Health