Unfair Gaps🇮🇳 India

Hospitals Business Guide

41Documented Cases
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All 41 Documented Cases

मैनुअल अपील प्रोसेसिंग लागत

₹5-10 lakhs/month in labor for denial teams (40-60 hours/1000 claims at ₹500/hour)

Manual processes for tracking, investigating, and appealing denials drive high operational costs, especially with backlogs.

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OR Downtime due to Supply Stockouts - Surgical Cancellation और Revenue Loss

₹50,000–500,000 per cancelled major surgery (lost OR revenue, implant cost, staff overtime). 5–10 cancellations per month due to supply issues = ₹2.5–50 lakh monthly, or ₹30–600 lakh annually. Plus reputational impact and potential contractual penalties with corporate clients.

Surgical supply stockouts directly impact OR utilization and revenue. When par levels are not optimized or demand forecasting is poor, supplies run out unexpectedly. Critical shortages (specialized implants for cardiac cases, rare blood products, specific sutures) cause case cancellations or delays. Each delay consumes OR time, reduces daily surgical volume, and reduces revenue. Search results emphasize: 'Unlike other industries where delays mean financial losses, in healthcare they can mean loss of life.' Stockouts also damage hospital reputation and patient trust.

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दानशील देखभाल पात्रता निर्धारण में राजस्व हानि

₹5 लाख per family/year forgone revenue if wrongly granted (PM-JAY coverage); 20-40% unbilled services due to manual delays

Hospitals forgo revenue by providing unclaimed charity care or fail to bill due to slow manual eligibility determination processes mandated under government schemes.

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Par Level Forecasting Errors - Inaccurate Demand Planning और Inventory Misallocation

Inventory carrying cost (warehousing, cold-chain, obsolescence): 20–25% of inventory value annually. For a ₹50 lakh surgical supply inventory: ₹10–12.5 lakh annually. Plus emergency order premiums: ₹50–100/unit × 1,000–5,000 units/month = ₹50,000–500,000 monthly in hidden costs.

Without data-driven par-level optimization, hospitals rely on manual judgment or static vendor recommendations. Clinical teams do not communicate surgical pipeline to supply chain. Seasonal increases in high-risk injuries (monsoon, festive season) or new surgical programs (new cardiac line, trauma center expansion) are not reflected in updated par levels. Carrying costs for excess inventory (₹200–500/unit/year for surgical items) accumulate, while critical shortages still occur because par levels do not match actual case complexity or volume.

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