ROADS: A Smarter Way to Take Control of Hospital Revenue

Private hospitals in Australia face a tough challenge when negotiating with health insurers: not enough information. These high-stakes conversations are often driven by outdated reports, legacy systems, or best guesses. That’s a risky way to manage revenue — especially as funding pressure grows.

Empowered Health Analytics created ROADS — Revenue Optimisation and Decision Support — to give hospitals the data they need to negotiate with confidence and build smarter financial strategies.

R.O.A.D.S Sample Dashboard.

The Problem: Negotiating in the Dark

For many hospitals, insurer contracts are negotiated without a full picture of how their current rates stack up against the rest of the market. That means key questions go unanswered:

• Are we getting paid fairly for certain DRGs or services?

• How do our rates compare to benchmarks across the state or country?

• Which insurers are paying less than average, and by how much?

• What hard evidence can we bring into the room to strengthen our case?

Without real answers, hospitals risk leaving money on the table — or worse, building long-term strategies on weak financial foundations.

How R.O.A.D.S solves it

ROADS was developed in partnership with health finance experts to solve this exact problem. It delivers clear, real-time insights that go beyond internal numbers and tap into broader market data.

Benchmark Every Admission

ROADS lets you compare each hospital admission against live state and national benchmarks. You’re not stuck with averages — you see funding performance by DRG, service line, and individual admission.

• Spot the Gaps

The platform shows exactly where your insurer payments fall short of the market — and puts a dollar figure on the gap. Whether it’s a specific DRG, a contract clause, or an entire service area, you can see the difference clearly.

• Stay Updated

ROADS pulls in ongoing data uploads, so insights stay fresh. If clinical mixes shift or contract terms change, your data reflects it — no lag, no surprises.

• Reports That Get Results

Use ROADS to generate tailored, evidence-backed reports for contract negotiations. These aren’t just charts — they’re tools to turn vague discussions into numbers-driven conversations.

• Plan With Purpose

Beyond revenue protection, ROADS supports smarter decisions around service development. You’ll understand which clinical areas are underperforming on funding and where investment could pay off.

$25 Million and Counting...

Hospitals using ROADS have already uncovered more than $25 million in underpayments from insurers — revenue that might have gone unclaimed without access to this kind of insight.

Built for the Private System

ROADS was designed specifically for Australia’s private health system. It uses up-to-date cost weights, policy adjustments, and public benchmarks to stay aligned with the current funding landscape.

It’s also easy to use. You don’t need a data science team to make sense of it. The insights are clear and directly useful for finance teams and executives alike.

When You Know Better, You Negotiate Better

In a system where every dollar counts, reliable funding intelligence isn’t optional — it’s a necessity. ROADS won’t make decisions for you, but it gives you the tools to make them smarter.

Explore ROADS

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