How can growing hospital networks reduce pricing and billing inconsistencies?
As the organisation expanded across multiple locations, package pricing and clinical consumption practices varied significantly between units. The absence of standardised package structures, defined bill of materials (BOM), and consistent inventory mapping limited visibility into package-wise consumable usage. This led to untracked inventory consumption, inconsistent billing practices, revenue leakage, and margin dilution. The client required a structured framework that could standardise pricing, strengthen operational controls, and improve profitability across the network without compromising quality of care.
Creating a standardised package and inventory framework
Our Governance and Risk Optimisation solution experts conducted a deep-dive review of select units across relevant cities to understand package composition, rate structures, and item-level consumption patterns.
Our approach included:
- Reviewing existing package structures and identifying variations across units.
- Mapping the consumables and inventory items required for each package in discussion with client.
- Identified the varied pricing under the package.
- Recommending a uniform pricing structure across units for better consistency.
- Introducing controls to track inventory and consumables consumed under each package.
Quality care with better pricing and margin governance
The recommendations enabled the organisation to move toward a more disciplined and transparent package pricing model across hospitals. The impact included:
- Standardised package pricing across units.
- Better visibility into package-level inventory consumption.
- Reduced revenue leakage from untracked consumables.
- Improved margin protection through controlled additional billing.
- Greater consistency in pricing and billing practices across locations.
- Stronger governance over package design and operational execution.
