Temple Health serves North Philadelphia, home to one of the largest and most medically complex Medicaid populations in the U.S. With over half its payer mix in Medicaid, it operates on thin margins while delivering high-acuity care to a vulnerable community.
As the One Big Beautiful Bill (OBBB) signaled major Medicaid reimbursement cuts, leaders prioritized strengthening revenue integrity, ensuring defensible documentation, and accurately capturing care severity. Temple sought a partner to support upstream improvement without adding internal burden, and chose Accuity’s 60-day pilot—validating financial impact before fees—to assess opportunity and long-term value.
Accuity Impact for Temple Health
- $6.8M Annualized Net Cash Benefit Pilot site only, expansion to all sites planned
- 1.4% CMI Increase (on charts reviewed by Accuity)
Through its partnership with Accuity, Temple improved financial and clinical performance by more accurately capturing case complexity, strengthening Medicaid reimbursement, and better reflecting severity and risk in quality reporting.
The collaboration also enhanced claim defensibility—especially for Medicaid and managed Medicaid—while peer-to-peer physician engagement drove upstream documentation improvements, positioning Temple for greater stability amid future payment and legislative changes.