Understand how your payer mix impacts revenue
Healthcare revenue performance depends heavily on payer mix—the proportion of patients covered by Medicare, Medicaid, commercial insurers, and self-pay.
Payer Mix Analysis
Monthly report • vs budget variance
Built for finance teams
who demand accuracy
Healthcare revenue performance depends heavily on payer mix—the proportion of patients covered by Medicare, Medicaid, commercial insurers, and self-pay.
CFOs and VP of Finance responsible for revenue performance
Portfolio-wide oversight
Revenue Cycle Directors managing payer relationships and collections
Strategic oversight & escalation
Financial Analysts preparing monthly close and variance reports
Data-driven insights
Managed Care Directors negotiating payer contracts
Strategic oversight & escalation
From alert to action in minutes
The objective of this agent is to improve revenue attribution and financial planning accuracy.
The Trigger
You define when the agent should activate. When conditions are met, it starts working automatically.
- Monthly close cycle: Automatically runs on the 5th business day after month-end close
- Quarterly deep dive: Enhanced analysis triggered before quarterly board reporting
- Ad hoc request: Finance leadership requests analysis when revenue misses expectations
360° View
The agent opens a tailored dashboard consolidating data from all your systems.
- Total patient encounters by payer class (Medicare, Medicaid, Commercial, Self-Pay, Workers' Comp)
- Gross and net revenue by payer with period-over-period comparisons
- Average reimbursement rate per encounter or per RVU (Relative Value Unit) by payer
Automated Analysis
The agent follows a structured analysis flow, combining checks with exploratory reasoning.
- Volume variance calculation: Compares actual patient encounters to budget, holding payer mix and rates constant. Quantifies how much revenue variance is attributable to volume alone.
- Mix variance calculation: Holds volume and rates constant while applying actual payer mix percentages. Isolates the revenue impact of serving more or fewer patients from each payer class.
- Rate variance calculation: Compares actual reimbursement rates to budgeted rates by payer. Identifies payers where rates improved or declined.
Actionable Output
After analysis, the agent creates a human-friendly report with everything your team needs.
- Executive summary: One-paragraph overview of revenue performance and key drivers
- Variance bridge: Quantified breakdown showing volume, mix, and rate contributions to revenue variance (e.g., "Payer mix shift reduced revenue by $340K, offset by $180K favorable rate variance")
- Payer-level detail: Table showing each payer's volume, rate, and collection changes with dollar impact
Delivery
Reports are sent automatically via email or accessed directly in Veezoo.
Key benefits for finance teams
Concrete, measurable value for your team from day one
Time saved: Before: 2-3 days manually pulling data from multiple systems and building variance bridges
Now: Complete analysis delivered automatically within hours of month-end close.
Revenue visibility: Understand exactly how much revenue moved due to mix shifts versus rate changes—typically revealing 1-3% of revenue at risk from unfavorable mix trends.
Contract negotiation leverage: Enter payer contract discussions with clear data on reimbursement trends and volume patterns.
Up and runningin production in weeks
To deploy this Agent, you connect Veezoo to your existing Data Warehouse, typically containing data from:
Ready to explore Payer Mix Analyzer?
Fully customizable to your workflows, data sources, and business requirements.
Typical initial implementation in weeks, not months.