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Study: significant increase in patients who can't afford to pay full hospital bill

Posted on 6/27/17 at 10:48 pm
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69366 posts
Posted on 6/27/17 at 10:48 pm
quote:



A new TransUnion Healthcare analysis revealed a significant rise in the percentage of patients that didn’t pay their hospital bills in full. Approximately 68% of patients with bills of $500 or less did not pay off the full balance during 2016 – up from 53% in 2015 and 49% in 2014.


“There are many reasons why more patients are struggling to make their healthcare payments in full, the most prominent of which are higher deductibles and the increase in patient responsibility from 10% to 30% over the last few years,” said Wiik, author of the book and also principal for healthcare revenue cycle management at TransUnion. “This shift in healthcare payments has been taking place for well over a decade, but we are seeing more pronounced changes in how hospital bills are paid during just the last few years.”



This is why it's fricking dumb to only focus on premium costs when debating the ACA

LINK
Posted by texashorn
Member since May 2008
13122 posts
Posted on 6/27/17 at 10:51 pm to
I was wondering for a while if people were shirking their bills with Obamacare because of the deductible.

Boom.
Posted by Mr.Sinister
South Carolina
Member since Dec 2012
4956 posts
Posted on 6/27/17 at 10:51 pm to
Ever looked at the itemized bill from a hospital?

Costs are grossly inflated.





ETA* Not saying that is the only reason, but it is definitely a piece to the healthcare puzzle.
This post was edited on 6/27/17 at 10:54 pm
Posted by Spock's Eyebrow
Member since May 2012
12300 posts
Posted on 6/28/17 at 12:53 am to
Haircuts across the board are a necessary start. Good article here about why health care is so fricked up and is so hard to change:

Why an Open Market Won’t Repair American Health Care
Posted by PrimeTime Money
Houston, Texas, USA
Member since Nov 2012
27325 posts
Posted on 6/28/17 at 1:58 am to
I broke my ankle several months ago and had to have a 45 minute surgery to put in some screws and a plate and I went home after it was done.

The bill was $85,000

As if anybody could actually pay $85,000 for a short, fairly common surgery, and as if it actually cost that much.

My portion with insurance was like $1500.
This post was edited on 6/28/17 at 2:00 am
Posted by bonhoeffer45
Member since Jul 2016
4367 posts
Posted on 6/28/17 at 5:02 am to
Fox and their right wing friends have really done an incredible job of hiding the core of the GOP healthcare plan when people like the OP are posting threads like this condemning the ACA when the replacement in the pipeline is set to make this specific problem of high deductibles much worse. By design mind you. As higher deductibles are a core tenant of GOP reform.

And the Conservative darling Rand Paul is deeply devoted to such reform pathways as well.

If the concern is total out of pocket expenses for the consumer, we are heading in a direction where the opposite is scheduled to take place.
This post was edited on 6/28/17 at 5:05 am
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
71383 posts
Posted on 6/28/17 at 7:59 am to
quote:

“There are many reasons why more patients are struggling to make their healthcare payments in full, the most prominent of which are higher deductibles and the increase in patient responsibility from 10% to 30% over the last few years,”


Don't forget the skyrocketing premiums. You still have to shell that out every month while also paying your much higher deductible and coinsurance.

Pre-ACA when affordable plans were legal, you could use the savings on your premium to pay your share of the bill and be done with it in a month or two.
Posted by dat yat
Chef Pass
Member since Jun 2011
4336 posts
Posted on 6/28/17 at 8:25 am to
Patient responsibility receivables have always had poor payment. The provider expects most of it to be written off. Lenders won't allow it as collateral. The industry make profit off the insurance claims alone and anything they get from patients is pure gravy.

The billing is based on what the most generous insurers may pay; it has nothing to do with cost of performing the service.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89618 posts
Posted on 6/28/17 at 8:31 am to
Couldn't have predicted that. Good thing Obama took away all their garbage plans and gave them good plans.

Obamacare all those folks to the bankruptcy court.
Posted by udtiger
Over your left shoulder
Member since Nov 2006
99153 posts
Posted on 6/28/17 at 8:51 am to
Hmmm...I wonder what has happened in the last few years that could explain this?
Posted by BamaAtl
South of North
Member since Dec 2009
21938 posts
Posted on 6/28/17 at 9:20 am to
Then why are healthcare/hospital stocks soaring (with the exception of rural hospitals in states that didn't expand Medicaid)?

Is this just among those without insurance? How did they account for Medicaid/Medicare patients, who would have no share of the bill? How big was their survey pool? What was their methodology? How did they define 'paying the full share' - does insurance paying a portion count as a positive or a negative?

So many questions, so few answers. Because they're trying to sell you a product.
Posted by WeeWee
Member since Aug 2012
40191 posts
Posted on 6/28/17 at 9:56 am to
quote:

“There are many reasons why more patients are struggling to make their healthcare payments in full, the most prominent of which are higher deductibles and the increase in patient responsibility from 10% to 30% over the last few years,”


but BamaAtl and the other communists on this board told me that Obamacare made healthcare more affordable.

Posted by StrongSafety
Member since Sep 2004
17547 posts
Posted on 6/28/17 at 10:17 am to
Who sets the price?

Man there's nothing in this world that says x surgical procedure or this forceps has to cost $20,000 or $100.

They set he prices. That's what we need to address first
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