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The articles below highlight the increased pressure that High Deductible Health Plans are putting on the bottom line of hospitals and physician’s groups.

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High Discount Health Plans: Right for the Consumer, But What About PFS?
High Discount Health Plans: Right for the Consumer, But What About PFS?

Source: HFMA
Author: Jeff Helton
“In its article citing the Crowe Revenue Cycle Analytics study, Modern Healthcare notes that insurers now pay only about 70 percent of a provider’s revenues, down from about 90 percent only five years ago, thanks to HDHPs shifting payments from the insurer to the patient. Add that fact to the latest news that HDHPs now represent a larger share of patients and you have a recipe for even higher uncollectable balances after (and maybe even, before) insurance…”

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Patient Debt Varies by Specialty and Location
Patient Debt Varies by Specialty and Location

Source: HFMA
Author: David Levine
“As high-deductible insurance policies proliferate, physicians are keeping a close eye on balances owed by patients……” “In rural regions, 7.2 percent of bad debt comes from patient payments, an increase of 8 percent over the past two years, according to data collected from 134 million patient visits to 58,000 athenahealth providers from 2014 – 2016, across PCP, ob-gyn, pediatrics, orthopedic and cardiology specialties. By comparison, 5.9 percent of debt in urban areas is attributed to patients, and that has increased just 2 percent over the same period.”

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