Decision Question This Instrument Addresses
"Is our revenue model resilient under payer tightening?"
What This Instrument Evaluates
Five Assessment Dimensions
Each dimension targets a specific failure mode that causes decisions of this type to go wrong. The instrument is designed to surface the gaps that are most likely to be consequential — not to measure maturity against an idealised standard.
Denial Sensitivity
How exposed are you to a 10–30% increase in denial rates across your top five payers?
Coding & Pathway Arbitrage Risk
Are your coding and care pathway practices vulnerable to payer reinterpretation or audit?
Cash-Flow Fragility
Does your organisation have sufficient liquidity to absorb a 90-day payment delay from a major payer?
Revenue Diversification
Is your revenue base concentrated enough that a single payer's behaviour change would create systemic risk?
Recovery Capability
Do you have the processes, data, and expertise to identify and recover denied revenue efficiently?
Instrument Output
Revenue risk heatmap · Stress scenarios (10–30% denial tightening) · Sustainability threshold · SAR exposure estimate
Typical Audience
CFOs, Revenue Cycle Directors, COOs, Hospital Group Boards
Available Now via Bespoke Engagement
This instrument is in development for standalone release. It can be applied immediately as part of a Full Diagnostic or Strategic Bundle engagement. Contact us to discuss your specific decision context.
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