4 Ways to Help Patients When They Can't Afford Care (2024)

4 Ways to Help Patients When They Can't Afford Care (1)

  • Jennifer Jourdan

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The rise in insurance deductibles has lead to a significant shift in financial responsibility to the patient. An increasing number of patients are either uninsured or underinsured.

Half of all insurance policyholders face a deductible of at least $1,000. A recent survey conducted by the Federal Reserve Board found that over 40% of adults claim they cannot come up with $400 in an emergency. Physicians and care providers are often left in a situation where they have to decide whether to turn a patient away, accept less for their services or come up with other ways to help patients get the care they need, while still ensuring the financial stability of their business.

4 Ways to Help Patients

Here are options that can lead to cost savings for the patient without compromising quality care.

  1. Be transparent – full disclosure of costs encourages patients to plan ahead and pay promptly. Verify insurance eligibility prior to the appointment, and inform the patient of the approximate costsso they can account for itin their decision-making process (if they agree to be seen or not)whichcan leadto more payment collections upfront.
  2. Create a policy – practices should establish a policy that outlines how they’ll collect unpaid balances, and develop guidelines for different scenarios. Decide and document whether you can offer a financial break to low income or self-pay patients with a sliding fee schedule which is a discount based on a family’s income. For patients with extreme financial or health problems, would they qualify to be seen, Pro Bono? There needs to be a firm policy on when your office will accept partial patients, or not treat those who can’t pay for their care. If you and your patient can’t agree on a fee – consider referring them to a local community hospital or clinic that offers low-cost or no-cost care to patients with financial stress.
  3. Offer payment plans – setting up payment plans is another way to help patients who are struggling to meet their financial obligation to your practice. Set up a credit card on file and an agreement with the patient on a monthly charge toward their debt. Patient portals are another way to collect unpaid balances and help alleviate some of the burdens from patients. They are able to pay when they can and conveniently through a secure online portal.
  4. Get creative – some patients are unable to pay cash or credit for their care, but may be able to pay in services or goods. Although this is less common, it is possible to arrange for an exchange – called the barter system. For example, you could exchange a consult for having your website re-designed or for an office cleaning. If you choose this option, make sure to agree on the value of the service/goods in advance and declare them as income at tax time.

Practices are having trouble collecting what is owed, and patients are struggling to pay out-of-pocket for care. Disclosing costs to patients upfront, drafting a policy and offering multiple options for payments are ways to keep your practice growingwhile still maintaining a high level of patient care.

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4 Ways to Help Patients When They Can't Afford Care (2024)

FAQs

4 Ways to Help Patients When They Can't Afford Care? ›

There needs to be a firm policy on when your office will accept partial patients, or not treat those who can't pay for their care. If you and your patient can't agree on a fee – consider referring them to a local community hospital or clinic that offers low-cost or no-cost care to patients with financial stress.

How will you respond when a patient tells you they cannot afford the treatments you are suggesting they need? ›

There needs to be a firm policy on when your office will accept partial patients, or not treat those who can't pay for their care. If you and your patient can't agree on a fee – consider referring them to a local community hospital or clinic that offers low-cost or no-cost care to patients with financial stress.

How would you handle a situation where a patient cannot pay their co-pay at their time of visit? ›

One strategy that does work well is to give these patients pre-addressed, stamped envelopes and tell them to mail their co-pay to the office.

What happens if a patient can't afford surgery? ›

If it is an emergency, no doctor can refuse it or deny it, because you don't have money or insurance. ITS THE LAW. So don't worry. If its a planned surgery, the hospital may offer you payment plans, may work to get you medicaid, financial aid, etc.

What would be the best response to these patients who are trying to avoid payment? ›

Use words that validate their emotions, such as, "That certainly sounds frustrating; I see you are angry." Offer to reduce or write off the balance of their bill after insurance pays. Let the patient know that efforts will be made to prevent the incident from occurring again.

What is 1 recommendation you have for someone who is struggling to pay their medical bills? ›

Negotiate the bill down to an amount that you can afford. Ask if the provider will accept an interest-free repayment plan. Look for help paying medical bills, prescription drugs, and other expenses.

What happens when someone cannot pay for healthcare services? ›

Medical debt can also lead people to avoid medical care, develop physical and mental health problems, and face adverse financial consequences like lawsuits, wage and bank account garnishment, home liens, and bankruptcy.

How can healthcare be more affordable? ›

Expanding incentives – such as lower cost-sharing, tiered network designs, and benefit enhancements – to reward consumers for seeking health care from high-quality, cost-efficient providers.

Which four factors contribute to quality of care? ›

Final answer: The four factors that contribute to the quality of care in healthcare are access, evidence-based practice, patient-centered care, and continuity of care.

How to improve equity in health care? ›

Work with others to address misinformation, myths, and lack of access to appropriate resources. This might include working with trusted local media, local public health departments, or community members to share information or community insights that help connect individuals to resources and free or low-cost services.

When patients cannot afford their medications? ›

Drug Assistance Program. Many pharmaceutical companies, state programs and nonprofits have drug assistance programs (PAPs) that offer free or low-cost medicines if you don't have insurance or are underinsured and can't afford your medicine. Programs and program benefits vary.

Can a doctor refuse to treat a patient who owes money? ›

Ability to Pay

Some medical providers may consider refusing to treat because of the patient's inability to pay for treatment. Generally, in non-emergency situations, this is allowed. A private internist, for example, might refuse to schedule a patient's appointment if that patient has unpaid medical bills.

What's the most expensive surgery? ›

Heart transplants top the list as the most expensive medical procedure in 2024. The complexity of the surgery, the need for donor matching, and the lifelong post-transplant care contribute to the high cost. The average cost of a heart transplant in the United States is approximately $1.3 million.

Is it ethical for a doctor to deny treatment to a patient who cannot afford an operation? ›

The most common reason for refusing to treat a patient is the patient's potential inability to pay for the required medical services. Still, doctors cannot refuse to treat patients if that refusal will cause harm.

What action would you take if a patient refused his recommended treatment? ›

With the patient's permission, speak with family, clergy or another mediator if you think this might help the patient reconsider his or her refusal. Consider a mental health referral if the patient has overwhelming anxieties about receiving care or shows psychiatric comorbidities and is willing to be evaluated.

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