Patient centricity is about designing processes and creating experiences that meet patients where they are. When it comes to the patient financial journey, that means creating processes that make it easier for patients to pay for the medical care they need.
The challenge is that the traditional revenue cycle was designed around payer reimbursement rather than patient payments. Other than collecting patient co-pays, the process was mainly focused on getting paid by the payer. That may have worked 20 years ago, but not today.
It’s no secret that high-deductible health plans (HDHPs) have made it more difficult for patients to pay their medical bills. We know this because of our country’s skyrocketing medical debt. Today, more than half of all American adults have medical debt, and it’s having an adverse effect on outcomes. Here’s why:
- One in seven U.S. adults surveyed said they had been denied care due to unpaid bills.
- Half of individuals having trouble paying their medical debt avoided care.
- One-third of individuals with medical debt issues skipped a medical test or recommended treatment.
- One-third of individuals with medical debt issues cut their medicines in half or skipped doses.
- 41% of people with medical bill issues have avoided filling a prescription due to cost.
When patients don’t get the care they need when they need it, outcomes can deteriorate while hospitalizations and emergency department visits increase. This, in turn, can lead to even higher healthcare costs and medical debt.
Strategies to create a patient-centric financial journey
Fortunately, there are several proven methods to make the financial journey more patient-centric, helping make it easier for patients to pay for the care they need. This includes the following:
- Provide patient responsibility estimations before the time of service so patients can make more informed decisions about how to pay for their care. Besides helping educate patients about their financial responsibility, estimates also reduce the potential for surprise bills.
- Offer payment plans before an account goes into collections. Plans should be based on a patient’s financial situation and allow them to add future balances. When patients are offered a payment plan that fits their budget, they can avoid adding to their medical debt and better afford the care they need.
- Offer multiple payment options so patients can choose what works best for them: mobile payments, payment portals, automated phone payments, or through the mail. This gives patients the ability to pay when and how it’s most convenient.
- Simplify billing statements, making it clear what the bill is for. Statements should also list all payment options available. This helps reduce frustration and helps patients understand why they owe what they owe.
- Offer personalized communications, including appointment and payment reminders. Patients should be allowed to choose the type of communications they prefer: text, email, phone, or mail. Clear, ongoing communications can help improve trust and the provider-patient relationship.
In a survey of 1,500 patients, 90% said that provider loyalty depends on the patient financial experience.
Next steps
The vast adoption of HDHPs has made it more challenging for patients to get the care they need. Now that so many have outstanding medical debt, providers must do all they can to help reduce the burden and make it easier for patients to pay for the care they need. Creating a more patient-centric financial journey is a proven way to do just that.