• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • COVID-19
  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • Artificial Intelligence
    • Blockchain
    • Mobile Health
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Patient Financial Experience: 40% of Americans Confused by Medical Bills

by Syed Hamza Sohail 12/16/2022 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

What You Should Know:

– AKASA™, a developer of AI for healthcare operations, released findings from a new survey conducted on its behalf by YouGov.

– The survey findings highlight uncertainty looms among patients about what is included in a bill and if they can pay – two factors that drive the most confusion on medical bills. However, there are strategies healthcare organizations can take to be proactive and prevent billing surprises from trickling down to patients. 

Understanding the Uncertainty Around Medical Bills

More than 2,000 Americans were asked: “On a scale from 1-5 (1 being not confusing at all, 5 being extremely confusing), how confusing are medical bills to understand?” 

1. 11% found medical bills not confusing at all

2. 14% leaned toward medical bills not being confusing

3. 37% said they were neutral on the confusion of medical bills 

4. 19% found medical bills somewhat confusing

5. 19% said medical bills were extremely confusing

Additionally, respondents were asked: “Which, if any, of the following is most frustrating about the financial experience after seeking medical care?” Americans ranked the following statements as their most important frustrations:

1. Being able to understand what they’re being billed for (29%)

2. Uncertainty if they can pay the bill (27%)

3. Not getting bill until weeks after they received service (24%)

4. Uncertainty if the final bill will be consistent with the estimate of responsibility (20%) 

“The rise of high-deductible health plans, the uncertainty of what’s being billed, the complexities of in- and out-of-network charges, and how much patients are on the hook for makes understanding and managing medical bills challenging for many families,” said Amy Raymond, VP of revenue cycle operations. “Additionally, as errors in medical bills persist, patients should be diligent in reviewing their bills to ensure they’re getting an accurate bill. I strongly encourage individuals to ask questions of their providers  or insurance company before paying a bill.”  

The survey also asked: “Which, if any, of the following would be most helpful to you in understanding how much you are expected to pay for care or services?”

1. 27% said a call before the procedure from the physician’s office or hospital staff to walk through what’s expected in terms of payment and discuss payment plans offered

2. 12% said an online calculator to help determine cost ranges for care or procedures

3. 11% said an email from the insurance company to walk through the bill after care or services are rendered

4. 9% said a call from the insurance company to walk through the bill after care or services are rendered

5. 9% said access to live online customer service through their insurer’s websites

6. 8% said a call from the physician’s office or hospital staff to walk through the bill after care or services are rendered

7. 24% said none of the above

“These results show that medical billing is still a black box to patients,” said Raymond. “The onus is on healthcare organizations — both providers and insurers — to make medical billing less painful for patients, who may fear going into debt and avoid seeking out care. One critical tool healthcare leaders can leverage to course correct on medical billing and make it more seamless for patients is automation.” 

“Automation makes it possible to take a lot of the tedious work off the plates of revenue cycle specialists, freeing them up to become patient advocates,” said Raymond. “For example, automating authorization status frees staff up to help with initiating an authorization in a more timely manner while also preventing appointments from getting canceled. Staff can also take on more patient-facing activities like financial counseling to deliver a better experience overall.”

The YouGov survey, commissioned by AKASA, fielded responses from 2,026 Americans between March 9–14, 2022. The online survey was conducted at a confidence level of 95% and results for the total sample have a margin of error of +/- 2.18%, while results among those who have sought prices for healthcare services have a margin of error of +/-3.65%. The figures have been weighted and are representative of all US adults 18 and older. 

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: AI, AKASA, Box, Healthcare Leaders, Medical Billing, Patient Financial Experience, revenue cycle, revenue cycle operations

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Knowledge Hub

10 Critical KPIs Every Successful Healthcare Organization is Implementing10 Critical KPIs Every Successful Healthcare Organization is Implementing

How to Build Hybrid Care Models Around Remote Patient Monitoring

How to Build Hybrid Care Models Around Remote Patient Monitoring

Trending

Podimetrics CMO Talks Supporting Patients Living with SDoH Challenges

Podimetrics CMO Talks Supporting Patients Living with SDoH Challenges

Recent Digital Health Partnerships

Roundups: 15 Recent Digital Health Strategic Partnerships

Recent Digital Health Executive Hires & Board Appointments

Digital Health Executive Hires: Practice Better Appoints CEO, HHAeXchange, Intelerad, Tegria, Others

M&A: Florence Acquires Virtual Care Solution Zipnosis

M&A: Florence Acquires Virtual Care Solution Zipnosis

Adopting Value-Based Care Models for Autism Care Is Imperative

Why Adopting Value-Based Care Models for Autism Care Is Imperative

UNC Health to Pilot Epic, Microsoft’s Generative AI Tool

UNC Health to Pilot Epic, Microsoft’s Generative AI Tool

Vanderbilt University Medical Center Taps Philips Reduce Carbon Footprint

Vanderbilt University Medical Center Taps Philips to Reduce Carbon Footprint

Denials Management Named Most Time-Consuming Task in RCM

Denials Management Named Most Time-Consuming Task in RCM

How AI Can Eliminate Surprise Bills, Improve Payment Integrity

AI Can Eliminate Surprise Bills, Improve Payment Integrity

Q/A: IQVIA’s Global Lead Talks Unlocking AI for Drug Repurposing

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • 2023 Editorial Calendar
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2023. HIT Consultant Media. All Rights Reserved. Privacy Policy |