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Case Study 02
Regional Non-Profit Health System · Louisiana

From Fragmented Systems to Financial Strength

How Texican helped a Louisiana health system standardize operations, optimize performance, and position for a successful multi-billion dollar merger — all in 14 months.

$800M BudgetMulti-FacilityTeaching InstitutionEnterprise RCO Transformation
7
Acute Care Facilities
475
Beds (Flagship)
$800M
Annual Budget
14 Mo
Engagement Duration
+10%
Sustained Annual Cash Flow Increase
▲ year-over-year
25%
Reduction in A/R
▼ improvement
30K+
Recurring Edits Eliminated
▼ removed
3,000
Insurance Plans Reduced
▼ simplified
The Challenge

A System at a Crossroads

An $800 million regional nonprofit health system in Louisiana was growing fast — but its revenue cycle operations were falling behind. Disconnected processes, inaccurate data, and misaligned priorities across RCO, IT, and Finance created systemic dysfunction.

As the organization prepared for a high-stakes merger with a multibillion-dollar health system, they needed a transformation partner who could deliver fast and position them with maximum value at the table.

Key Initiatives
  • Eliminated over 30,000 recurring edits and improved claim integrity across the enterprise
  • Standardized charge capture and coding; reduced insurance plan complexity by 3,000 options
  • Integrated contract management systems and introduced telehealth billing capabilities
  • Established the organization as a Cerner reference site for revenue cycle excellence
Performance Visualization

Transformation Impact

A/R Reduction
25% decrease in accounts receivable
0%50%100%100%Before75%After−25%
Operational Complexity Reduction
Edits eliminated and plans simplified
Recurring Edits30K+Before0EliminatedInsurance Plan Complexity3,000 plans reduced
Texican has played a critical role in strengthening our system and financial position… Their expertise helped position us with maximum value as we entered the merger.
SVP and CFO
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Phase 1

Claim Health

Data-driven assessment that identifies exactly where cash is trapped and what it's costing.

Phase 2

Cash Realization

Systematic execution that transforms identified opportunities into collected revenue.

Phase 3

Cash Legacy™

Sustained adoption that ensures gains compound forward — not evaporate after engagement.

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