Case Study: KentuckyOne Health achieves revenue cycle turnaround — $1.4M increase in time-of-service collections and 30% reduction in AR days with Optum360

KentuckyOne Health Medical Group turned revenue cycle around with collaboration and the right tools

KentuckyOne Health Medical Group faced growing pains after rapid expansion and consolidation following Kentucky’s Kynect enrollment surge, which left the system with revenue‑cycle losses, long accounts‑receivable days, credentialing bottlenecks and high pre‑authorization denials. To address these issues, KentuckyOne engaged Optum360 (via MedSynergies) and implemented the MSIGHT Optimize solution to reorganize back‑office functions and drive revenue‑cycle transformation.

Working side‑by‑side with Optum360, a turnaround team standardized processes, fixed provider credentialing, expanded global support and changed front‑line workflows such as scheduling and benefits verification. The effort yielded measurable results: $1.4M increase in time‑of‑service collections; A/R days reduced from 75 to fewer than 52 (~30% improvement); 45% reduction in pre‑authorization denials; nearly $3M improvement in net patient service revenue; $1.7M from fewer preventable denials (first‑pass denials at 7%); plus a 15% reduction in A/R and a 30% increase in payments — improvements KentuckyOne attributes to Optum360’s tools and support.

KentuckyOne Health

Rhonda Hale

Vice President, Finance