PatientEngagementHIT

Patient Financial Responsibility

Insured Patients See High Premiums, Out-of-Pocket Healthcare Costs

December 13, 2018 - Middle-income families spend 11 percent of their annual incomes on out-of-pocket healthcare costs and insurance premiums and deductibles, according to a recent report from the Commonwealth Fund. Using data from the federal Medical Expenditure Panel Survey – Insurance Component (MEPS – IC), the researchers looked at non-elderly adults with employer-sponsored healthcare....


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Industry Groups Call on Protections from Surprise Medical Bills

by Sara Heath

The healthcare industry must adhere to a set of core standards to protect patients from surprise medical bills, said a group of industry leaders in a new position statement. The statement was issued by America’s Health Insurance...

Promoting Patient Choice, Consumer-Centered Care HHS Priorities

by Sara Heath

Improving patient choice, cutting healthcare costs, and supporting consumer-centered care design are key action areas for the Department of Health & Human Services, the agency said in a recent report. The report, “Reforming...

Confronting Indirect Patient Healthcare Cost Hurdles, SDOH

by Sara Heath

Patients face numerous indirect healthcare cost hurdles that impact their ability to access treatment, according to a recent guidance from America’s Essential Hospitals. The guidance, which comes as a part of an entire library of...

Low-Cost Health Plans Come with High Deductibles, Patient Spending

by Sara Heath

Low-income patients can access a health plan with little to no out-of-pocket cost on the ACA health insurance markets, but these plans come with a catch, according to new data from the Kaiser Family Foundation. These subsidized health...

Part D Drug Price Proposal Could Limit Patient Access to Care

by Sara Heath

Utilization management strategies such as formulary tiers and copayments serve as significant barriers to Medicare Part D drugs for many patients managing serious illness, according to a new report conducted by Avalere Health on behalf of...

CMS Drug Price Proposal Aims to Cut Out-of-Pocket Patient Spending

by Sara Heath

CMS has proposed a new drug price model for Medicare Parts C and D that will ideally reduce out-of-pocket patient spending. The policies, which if approved would go into effect in 2020, would impact Medicare Advantage and Medicare Parts C...

Can Medical Crowdfunding Address Patient Financial Responsibility?

by Sara Heath

As patient financial responsibility continues to grow, healthcare consumers are looking for ways to pay for their medical bills. In that pursuit, medical crowdfunding has emerged. Medical crowdfunding is the practice of collecting...

Price Transparency Essential to Lower Out-of-Pocket Patient Costs

by Sara Heath

Price transparency and clarity within the chronic care management medication supply chain will be essential for reducing out-of-pocket patient costs, according to a new report from the Congressional Diabetes Caucus. The report, which...

Retirees Need More Savings for Out-of-Pocket Healthcare Costs

by Sara Heath

Retired Medicare beneficiaries need to see their savings accounts swell by 9 percent if they want to cover their out-of-pocket healthcare costs, according to new data from the Employee Benefit Research Institute (EBRI). Those...

Health Payer Incentive Program Supports Patient Drug Price Shopping

by Sara Heath

UnitedHealthcare has announced plans to offer a rewards program for patients who seek out lower-cost drug options. This comes as part of the health plan’s efforts to put a cap on prescription drug spending and empower patients to...

HHS Drug Payment Proposal May Cut Out-of-Pocket Patient Costs

by Sara Heath

HHS has unveiled the International Pricing Index (IPI), a proposed payment model that would allow Medicare to set drug prices at rates closer to those in other developed nations. This move has the potential to reduce out-of-pocket patient...

Patient Financial Struggles Suggest Need for Better Payment Plans

by Sara Heath

Over one-quarter of families are delaying medical care because of cost concerns and high patient financial responsibility, according to a recent survey conducted by ORC International on behalf of AccessOne. Payment plans and other...

How to Create Patient Satisfaction During the Bill Pay Process

by Sara Heath

As the healthcare industry continues to be marked by high patient financial responsibility and out-of-pocket costs, practice leaders strive to ensure the bill pay process yields high patient satisfaction. After all, a positive experience...

How Patient Experience in Billing Offices Impacts Patient Payments

by Sara Heath

A poor patient experience with the hospital billing department can have an impact on patient payments and financial responsibility, according to a new survey published by Connance. The Connance Consumer Impact Survey of 2018, which...

Gag Clause Bills Signed into Law, Improves Healthcare Transparency

by Sara Heath

President Trump has signed into law two bills that prohibit pharmacy gag clauses, or the practice of prohibiting pharmacy and healthcare transparency. The laws – one targeted at Medicare plans and one for private and...

Premiums, Deductibles Increase as Patient Healthcare Costs Rise

by Sara Heath

Healthcare costs are continuing to be burdensome for patients, even when patients have health payer coverage, according to a recent survey from the Kaiser Family Foundation. More patients have health plans with a deductible, meaning the...

Bipartisan Proposal to Protect Patients from Surprise Medical Bills

by Sara Heath

A bipartisan group of senators have banded together to propose draft legislation that, if passed, could address the growing issue of surprise medical bills and their impacts on patient healthcare costs. The bill, co-sponsored by Senators...

Health Pros Nudge Senate Toward Care Quality, Price Transparency

by Sara Heath

Healthcare policymakers are hearing from industry leaders about how they can support better care quality and price transparency tools aimed at helping patients make informed decisions about their care. At a hearing of the Senate Committee...

Health Payer Coverage Access Cuts Patient Financial Strains

by Sara Heath

Patient access to comprehensive health payer coverage has reduced patients’ financial strains, according to new research from the University of Michigan Institute for Healthcare Policy & Innovation. As patients gain access to...

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