Designed by Kelly Emrick, DHSc, PhD, MBA

Leakage Recovery Simulator

Input your hospital’s system metrics below to predict revenue capture based on strategic improvements in Access, Network Alignment, and Patient Experience.

STEP 1 System Inputs


STEP 2 Improvement Strategy

Adjust sliders to simulate implementation intensity.

0%

Impact Weight: High (45%)

0%

Impact Weight: Medium (35%)

0%

Impact Weight: Moderate (20%)

Projected Revenue Recovered

$0 M

New Capture Rate

70.0%

*Projections based on weighted industry benchmarks for impact of intervention types.

Tactical Playbook

Access & Capacity

Centralized Scheduling

Implement a single number/hub for all referrals to eliminate the “referral black hole” and ensure loop closure.

Impact: High
Access & Capacity

The “7-Day Promise”

Guarantee specialist availability within 7 days for new referrals. Requires holding “Fast Track” appointment slots.

Impact: Very High
Access & Capacity

Online Self-Scheduling

Allow patients to book directly via website/app. Competitors like ZocDoc capture leakage here.

Impact: High
Network Alignment

Provider Scorecards

Share quarterly reports with employed physicians showing their specific out-of-network referral patterns.

Impact: Medium
Network Alignment

EMR Directory Cleanup

Ensure the default specialist list in the EMR prioritizes in-network providers at the top of the search.

Impact: High
Network Alignment

Referral Coordinators

Embed staff in high-volume PCP offices specifically to handle the authorization and booking of referrals.

Impact: Medium
Experience

Cost Estimation Tool

Provide out-of-pocket cost estimates pre-service. Reduces “shopping” based on price uncertainty.

Impact: Medium
Experience

Unified Patient Portal

Consolidate billing, records, and scheduling into one app. Fragmentation drives patients to simpler competitors.

Impact: Low
Experience

Nurse Navigation

Assign navigators to complex oncology/cardio patients to guide them through the system, preventing drop-off.

Impact: Medium