MBA-HCM Theses and Dissertations (2023)

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Browsing MBA-HCM Theses and Dissertations (2023) by Author "Matolo, D. M."

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    Effect of the rate of adoption of electronic data interchange on healthcare providers’ cashflow management in Kericho County
    (Strathmore University, 2023) Matolo, D. M.
    The purpose of this research was to assess the effect of the slow adoption of e-claims on private healthcare providers' cash flow management in Kericho County. Extensive review of existing literature is presented to understand the study area in context. Using the empirical information as well as theory of cash conversion, TAM and RBV theory, the researcher identified dependent (efficiency of e-claim in cash flow management) and independent variables (claim rejection, rate of adoption, reduced operational cost, faster claim settlement) that were tested in the study. The study used a mixed method approach (both qualitative and quantitative research approaches) to collect primary data through a combination of interviews and survey questionnaires in order to meet the set objectives. Thematic analysis, descriptive statistics, and regression analysis were the data analysis tools used. The findings of the study show that claims submitted electronically are processed more quickly, resulting in faster payment and improved cash flow management for private healthcare providers. It was also found that most private hospitals in Kericho county have adopted the use of EDI technology to process e-claims. The results show that although insurance providers may not easily identify fraud, using EDI to detect such occurrences is helpful. With reduced costs, rare inconsistencies, promptly submitted claims, and timely reimbursements, financial reporting becomes easier to process with each billable procedure accounted for. Overall, the study found that the strongest predictors of the efficiency of e-claims in cash flow management are reduced rejection (Mean 3.84), cost-effectiveness, timely payment (Mean 3.72), and reduced fraud (3.95). There was no significant relationship between the slow adoption of EDI and e-claims in cash flow management. Various recommendations are given to direct further studies in an effort to improve the current research. Key Words: EDI, e-claims, adoption, efficiency, cash flow management