Impact of Transparency Legislation & Trends on Patient Financial Services

Over the past several years, a number of important pieces of government legislation have been aimed at increasing the level of transparency related to the cost of healthcare in the United States, in response to concerns from citizens and government officials surrounding the cost of care. From the Hospital Price Transparency Final Rule, which came

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Elevated Administrative Burdens in Patient Financial Services & Revenue Cycle

As the US healthcare system continues to evolve from a fee-for-service model towards value-based care models, patients and providers are facing new and different challenges in working both with each other, as well as with payers, to secure payment for healthcare. Hospitals in particular are facing greater administrative burdens, including planning and executing modifications to

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Enhancing the Revenue Cycle though Collaboration across the Patient Finance Journey

As the number of high-deductible health plans increases, alongside the deductibles themselves growing, co-insurance ratios and the cost of care escalates, co-payments rise, and care exclusions surge, the resulting environment is one of considerable difficulty for both patients and providers. Patients facing tremendous costs for much needed care are often unable to cope with burgeoning

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Claims Submission, Adjudication & Reimbursement

Throughout 2020 and into 2021, the US government provided substantial financial support to hospitals, health systems, and providers in the form of accelerated and advanced payments, provider relief funds, expanded Medicare payments, and paycheck protection, which helped hospitals through the initial shock of the COVID-19 pandemic. In some cases, commercial payers also helped to support

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Patient Financial Services: Challenges & Opportunities in Patient Payments

The combination of increased premiums, higher deductibles, and larger coinsurance payments have many patients and families struggling to cover their share of healthcare costs, resulting in difficulty making payments, and in some cases, delays in seeking care. The Kaiser Family Foundation 2021 Employer Health Benefits Survey found that more than 85% of covered workers have

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