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Delivering Financial
    PEACE OF MIND
for Healthcare Providers and Patients
by CSI Financial Services

                             Tackling the Growing Self-Pay Problem

                             For most hospitals, their mission is clear: to provide superior
                             healthcare services to the communities they serve.

                             However, in recent years, a perfect storm has gathered
                             strength and threatens the nation’s healthcare industry.
                             Consider the following statistics:

                                  72% of hospitals report reduced operating margins;
                                  50% of hospitals report reduced nonoperating income;
                                  and 44% of hospitals report reduced access to capital
                                  —American Hospital Association

                                  64% of hospitals experience an increase in self-pay
                                  balances AFTER insurance of at least 10%—HFMA
                                  Financial Pulse Project

                                  87% of hospitals reported an increase in bad
                                  debt or charity care as a percent of total gross
                                  revenue—American Hospital Association

                                  75% of healthcare facilities report greater
                                  increases to bad debt now than from the 2001
                                  recession—TransUnion Survey

                             According to the McKinsey Research Group, the national
                             average for uncollected self-pay each year is 49.3%. Moreover,
                             patient self-pay receivables have more than tripled since 2001
                             and are now between 10% and 20% of expected hospital cash
                             flow streams.

                             Industry research also indicates that even the best paying
                             patients require an average of 3.3 statements before they pay
                             their bill, stretching a hospital’s time to collect to over 100
                             days. HFMA estimates that the average cost to send a single
                             statement is $10.




Looking for Answers to the Self-Pay Challenge

    Healthcare finance executives are employing a number of new revenue cycle
       strategies, including the implementation of patient-friendly loan programs to
            extract value from a significantly undervalued asset: self-pay balances.

                   Introducing the ClearBalance Solution.
ClearBalance: A Track Record of Delivering Value
                                                ClearBalance, by CSI Financial Services, is led by a team
                                                of senior executives who have more than 75 years
                                                of experience working in the healthcare and finance
                                                industries. The ClearBalance team understands the
                                                challenges facing its clients—particularly the ongoing
                                                struggle of managing the day-to-day business
                                                operations of a healthcare institution.

                                                ClearBalance is the healthcare industry leader in providing
                                                zero- and low-interest bank loans to patients with
Here’s what our program participants            extremely affordable monthly payments. In fact, since 1992
are saying about ClearBalance:                  ClearBalance has provided bank loans to more than 500,000
                                                patients nationwide with a 99% patient satisfaction rate!

“I wish to thank you for your assistance. If    Featuring easy qualification criteria and no written
the need arises again, would it be possible     application requirement, the ClearBalance program
to request your staff to handle (hospital       assures that patients will quickly and easily qualify for the
issues) on my behalf?”                          bank loan program. In addition, there are no prepayment
          —Roger from Indianapolis, Indiana     penalties, origination fees or annual fees—further
                                                ensuring patient satisfaction.
“I get such wonderful service every time I      ClearBalance offers healthcare providers tangible,
call. I love to call in just to get help!”      measurable benefits:
                 —Nancy from Arlington, Texas
                                                     Accelerating cash from self-pay receivables

“Thank you sooo much! The cancer really              Reducing A/R days
scared me, but I thought the bills would
                                                     Preventing patients from going to collections
kill me. You’re a lifesaver!”
                 —Terri from Marion, Indiana         Reducing bad debt by 20% or more

                                                     Eliminating the administrative headache of trying
                                                     to collect self-pay balances

                                                     Improving patient relations and satisfaction

                                                With ClearBalance, healthcare providers can choose the loan
                                                program that best fits their mission, financial objectives and
                                                                        the needs of their patients. Loans
                                                                         may be offered at any point or
                                                                         at multiple points in the revenue
                                                                       cycle—admissions, patient financial
                                                                    services or in an automated fashion at
                                                               a specific time in the revenue cycle.

                                                        ClearBalance: delivering peace of mind to patients
                                                and healthcare providers.
ClearBalance: The Financial Cure
for Healthcare Providers and Patients

As healthcare providers look for solutions to self-pay issues,
consumers are also struggling to balance healthcare costs
and out-of-pocket expenses including high deductibles and
copayments. ClearBalance has funded more than half a
billion dollars in patient loans, enabling hundreds of
thousands of patients to easily and affordably repay their
healthcare obligations.

      Healthcare costs for a typical family of four
      increased 7.2% from 2009 to an all-time high of
      $18,074—Milliman Medical Index (MMI)

      Employees contribute, on average, $5,300 a year for
      family insurance coverage and $1,350 for individual
      coverage—United Benefit Advisors

      Financial experts believe that the recently enacted
      CARD Act of 2009 will make it more difficult and costly
      for consumers to gain access to credit that might have
      been used to pay their healthcare obligations

The ClearBalance mission is to provide patient-friendly bank
loans that enable consumers to easily manage their out-of-
pocket medical expenses, while providing healthcare
providers a solution to help balance their revenue cycle.

ClearBalance’s customer service center, located
in its San Diego–based corporate headquarters,
provides its clients and their patients with best-
in-class servicing . . . all designed to help patients
meet their self-pay obligation and avoid going
through the collections process.
ClearBalance: Programs to
Benefit Healthcare Providers and Patients


ZERO-INTEREST FLEX Program                            EZ-FLEX Program
Patients pay no interest over an extended period      Complement current revenue cycle
of time, dependent on the patient’s financial needs    processes by offering an attractive
and account balance. The healthcare provider          alternative to patients who cannot pay
has the flexibility to offer each patient a monthly    their balance in one lump sum. Patients
payment he or she can afford. This is a critical      receive a revolving line of credit with a low
part of reducing default, keeping patients out of     interest rate and affordable monthly payments
collections and improving patient satisfaction. The   as low as $20 per month (depending on balance
healthcare provider is funded upfront for patient     size). The healthcare provider is funded upfront
account balances, and ClearBalance manages ALL        for patient account balances, and ClearBalance
aspects of customer servicing.                        manages ALL aspects of customer servicing.

Patient Benefits:                                      Patient Benefits:
     Patient pays no interest or late fees                 Affordable monthly payments

     Affordable monthly payments                           No prepayment penalties or punitive
                                                           interest rates
     Consolidated statements for all amounts
     due to the healthcare provider with the               Resolve balance over time without
     ability to add on obligations incurred at             being sent to collections
     the healthcare facility
                                                           Combine multiple accounts into one bill
     Resolve balance over time without
     being sent to collections                        Provider Benefits:
Provider Benefits:                                          Healthcare provider determines
                                                           program’s interest rate
     Allows flexibility to match monthly payment
     to amount patient is willing and able to pay          Increase cash collections

     Reduce A/R days and bad debt                          Reduce A/R days and bad debt

     Increase cash flow                                     Expand payment options for patients

     Statements are sent to patients in the bank’s         Statements sent to patients in bank’s
     name to further reduce default                        name reduces default

     Improve patient relations
For Financial Peace of Mind,
Turn to ClearBalance by CSI Financial Services
ClearBalance provides valuable financial resources to healthcare providers
by offering bank loans to help patients repay their self-pay balances and then
services its customers with respect and dignity.

For additional information, contact us:

ClearBalance by CSI Financial Services
3636 Nobel Drive, Suite 250
San Diego, CA 92122
P: 858.200.9208
F: 858.200.9210

www.clearbalance.org

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ClearBalance Brochure

  • 1. Delivering Financial PEACE OF MIND for Healthcare Providers and Patients
  • 2. by CSI Financial Services Tackling the Growing Self-Pay Problem For most hospitals, their mission is clear: to provide superior healthcare services to the communities they serve. However, in recent years, a perfect storm has gathered strength and threatens the nation’s healthcare industry. Consider the following statistics: 72% of hospitals report reduced operating margins; 50% of hospitals report reduced nonoperating income; and 44% of hospitals report reduced access to capital —American Hospital Association 64% of hospitals experience an increase in self-pay balances AFTER insurance of at least 10%—HFMA Financial Pulse Project 87% of hospitals reported an increase in bad debt or charity care as a percent of total gross revenue—American Hospital Association 75% of healthcare facilities report greater increases to bad debt now than from the 2001 recession—TransUnion Survey According to the McKinsey Research Group, the national average for uncollected self-pay each year is 49.3%. Moreover, patient self-pay receivables have more than tripled since 2001 and are now between 10% and 20% of expected hospital cash flow streams. Industry research also indicates that even the best paying patients require an average of 3.3 statements before they pay their bill, stretching a hospital’s time to collect to over 100 days. HFMA estimates that the average cost to send a single statement is $10. Looking for Answers to the Self-Pay Challenge Healthcare finance executives are employing a number of new revenue cycle strategies, including the implementation of patient-friendly loan programs to extract value from a significantly undervalued asset: self-pay balances. Introducing the ClearBalance Solution.
  • 3. ClearBalance: A Track Record of Delivering Value ClearBalance, by CSI Financial Services, is led by a team of senior executives who have more than 75 years of experience working in the healthcare and finance industries. The ClearBalance team understands the challenges facing its clients—particularly the ongoing struggle of managing the day-to-day business operations of a healthcare institution. ClearBalance is the healthcare industry leader in providing zero- and low-interest bank loans to patients with Here’s what our program participants extremely affordable monthly payments. In fact, since 1992 are saying about ClearBalance: ClearBalance has provided bank loans to more than 500,000 patients nationwide with a 99% patient satisfaction rate! “I wish to thank you for your assistance. If Featuring easy qualification criteria and no written the need arises again, would it be possible application requirement, the ClearBalance program to request your staff to handle (hospital assures that patients will quickly and easily qualify for the issues) on my behalf?” bank loan program. In addition, there are no prepayment —Roger from Indianapolis, Indiana penalties, origination fees or annual fees—further ensuring patient satisfaction. “I get such wonderful service every time I ClearBalance offers healthcare providers tangible, call. I love to call in just to get help!” measurable benefits: —Nancy from Arlington, Texas Accelerating cash from self-pay receivables “Thank you sooo much! The cancer really Reducing A/R days scared me, but I thought the bills would Preventing patients from going to collections kill me. You’re a lifesaver!” —Terri from Marion, Indiana Reducing bad debt by 20% or more Eliminating the administrative headache of trying to collect self-pay balances Improving patient relations and satisfaction With ClearBalance, healthcare providers can choose the loan program that best fits their mission, financial objectives and the needs of their patients. Loans may be offered at any point or at multiple points in the revenue cycle—admissions, patient financial services or in an automated fashion at a specific time in the revenue cycle. ClearBalance: delivering peace of mind to patients and healthcare providers.
  • 4. ClearBalance: The Financial Cure for Healthcare Providers and Patients As healthcare providers look for solutions to self-pay issues, consumers are also struggling to balance healthcare costs and out-of-pocket expenses including high deductibles and copayments. ClearBalance has funded more than half a billion dollars in patient loans, enabling hundreds of thousands of patients to easily and affordably repay their healthcare obligations. Healthcare costs for a typical family of four increased 7.2% from 2009 to an all-time high of $18,074—Milliman Medical Index (MMI) Employees contribute, on average, $5,300 a year for family insurance coverage and $1,350 for individual coverage—United Benefit Advisors Financial experts believe that the recently enacted CARD Act of 2009 will make it more difficult and costly for consumers to gain access to credit that might have been used to pay their healthcare obligations The ClearBalance mission is to provide patient-friendly bank loans that enable consumers to easily manage their out-of- pocket medical expenses, while providing healthcare providers a solution to help balance their revenue cycle. ClearBalance’s customer service center, located in its San Diego–based corporate headquarters, provides its clients and their patients with best- in-class servicing . . . all designed to help patients meet their self-pay obligation and avoid going through the collections process.
  • 5. ClearBalance: Programs to Benefit Healthcare Providers and Patients ZERO-INTEREST FLEX Program EZ-FLEX Program Patients pay no interest over an extended period Complement current revenue cycle of time, dependent on the patient’s financial needs processes by offering an attractive and account balance. The healthcare provider alternative to patients who cannot pay has the flexibility to offer each patient a monthly their balance in one lump sum. Patients payment he or she can afford. This is a critical receive a revolving line of credit with a low part of reducing default, keeping patients out of interest rate and affordable monthly payments collections and improving patient satisfaction. The as low as $20 per month (depending on balance healthcare provider is funded upfront for patient size). The healthcare provider is funded upfront account balances, and ClearBalance manages ALL for patient account balances, and ClearBalance aspects of customer servicing. manages ALL aspects of customer servicing. Patient Benefits: Patient Benefits: Patient pays no interest or late fees Affordable monthly payments Affordable monthly payments No prepayment penalties or punitive interest rates Consolidated statements for all amounts due to the healthcare provider with the Resolve balance over time without ability to add on obligations incurred at being sent to collections the healthcare facility Combine multiple accounts into one bill Resolve balance over time without being sent to collections Provider Benefits: Provider Benefits: Healthcare provider determines program’s interest rate Allows flexibility to match monthly payment to amount patient is willing and able to pay Increase cash collections Reduce A/R days and bad debt Reduce A/R days and bad debt Increase cash flow Expand payment options for patients Statements are sent to patients in the bank’s Statements sent to patients in bank’s name to further reduce default name reduces default Improve patient relations
  • 6. For Financial Peace of Mind, Turn to ClearBalance by CSI Financial Services ClearBalance provides valuable financial resources to healthcare providers by offering bank loans to help patients repay their self-pay balances and then services its customers with respect and dignity. For additional information, contact us: ClearBalance by CSI Financial Services 3636 Nobel Drive, Suite 250 San Diego, CA 92122 P: 858.200.9208 F: 858.200.9210 www.clearbalance.org