🇦🇺Australia
Out-of-Pocket Surprise Churn
1 verified sources
Definition
Failure to use OEC for future admissions (up to 12 months) misses coverage changes, resulting in unexpected patient costs and churn.
Key Findings
- Financial Impact: 2-5% client churn; AUD 2,000-5,000 lost revenue per churned long-term care client
- Frequency: Per inaccurate eligibility check
- Root Cause: Not rechecking eligibility close to admission date
Why This Matters
Elderly services providers lose 5-10% clients annually from eligibility surprises. Automated OEC ensures informed consent.
Affected Stakeholders
Patient coordinators, Care managers
Deep Analysis (Premium)
Financial Impact
Financial data and detailed analysis available with full access. Unlock to see exact figures, evidence sources, and actionable insights.
Unlock to reveal
Current Workarounds
Financial data and detailed analysis available with full access. Unlock to see exact figures, evidence sources, and actionable insights.
Unlock to reveal
Get Solutions for This Problem
Full report with actionable solutions
$99$39
- Solutions for this specific pain
- Solutions for all 15 industry pains
- Where to find first clients
- Pricing & launch costs
Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Rejected Claims from Failed Eligibility Checks
AUD 500-2,000 per rejected claim; 5-10% revenue leakage from verification failures
Delayed Claims from Eligibility Verification Delays
20-40 days extra in Accounts Receivable; AUD 100-500 interest equivalent per delayed claim
NDIS Incident Reporting Penalties
AUD 5,000 - 50,000 civil penalties per breach; potential de-registration.
Governing Body Determination Application Fees and Delays
AUD 500-2,000 in application fees per submission + 20-40 hours staff time for rework
Assessment Waiting List Delays
AUD 5,000-10,000 per delayed client (based on average HCP value) + 2-6 weeks capacity loss
Non-Compliance History in Reassessments
AUD 10,000-50,000 in penalties + license risks (typical for governance breaches)
Request Deep Analysis
🇦🇺 Be first to access this market's intelligence