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Articles | March 11, 2016
Hospitals cannot collect 65 cents for every dollar that is billed to a patient, according to USA Today. The rise of high deductible health plans are a reason to blame as more and more patients have greater financial responsibility. Outdated billing practices and processes have also impacted hospitals’ ability to collect payments. Experts suggest healthcare providers need to enhance their billing methods to become more transparent whereas patients need to start setting money aside for healthcare expenses.
NPR illustrates the impact medical bills have on people’s lives, even if they are insured. A married couple filed for bankruptcy because they couldn’t afford their ever-increasing medical bills. The couple had a high deductible health plan that included a $700 premium and a $5,000 deductible. A woman who pays $147 a month for her Medicare, found she needed to skip necessary medication simply because she couldn’t afford the prescription. These two stories are not the first nor the last; in fact, 17 percent of Americans struggle to pay their medical bills. A NPR poll found 26 percent of its respondents stated healthcare expenses impacted their family’s finances tremendously. Of those respondents, seven percent had filed for bankruptcy.
Presidential candidate Bernie Sanders criticized the Affordable Care Act (ACA) at the last Democratic debate, stating the high premiums and deductibles associated with insurance are diminishing the impact of the law. Sanders wants to replace the ACA with a Medicare-for-all program; demonstrating true universal coverage. The Vermont Senator recently won the Michigan primary, beating front-runner Hillary Clinton.
Becker’s Hospital Review lists ten facts to know about healthcare collections and how patient financial responsibility will impact the collection process. For instance, in 2014 only 34 percent of hospital patients were able to pay the full amount requested upfront, while 58 percent of physician patients were able to do the same. In the last 16 years, cost of uncompensated care has grown to more than $502 billion since 2000. Because patients are expecting to shoulder more financial responsibility for their healthcare services, collecting at the point of service is becoming a main focus for all healthcare providers.