TransUnion is boosting its healthcare solutions with the purchase of Healthcare Payment Specialists (HPS), a company helping healthcare providers optimize Medicare reimbursement.
The acquisition of HPS will add technology that helps healthcare providers identify and recover Medicare reimbursements that they otherwise would not have received. Medicare accounts for 20% of total healthcare expenditures in the U.S., and the market for Medicare reimbursement optimization solutions is growing rapidly.
HPS helps healthcare providers maximize Medicare reimbursement by focusing on payment areas where superior technology and deep domain expertise can drive significant improvements, including:
- Medicare Bad Debt (MBD): Automates the MBD review process to help hospitals accurately and efficiently identify bad debts that are reimbursable
- Medicare Disproportionate Share (DSH): Helps hospitals serving low-income populations maximize their DSH reimbursement by integrating multiple data sources to identify all DSH-eligible patients and patient days
- HPS also has complementary solutions to TransUnion Healthcare in the areas of Transfer Diagnosis-Related Groups (DRG) and Indirect Medical Education/Shadow Billing.
The acquisition is anticipated to close in the second quarter of 2018 pending regulatory approval. TransUnion was advised on the transaction by Baird.