decisionhealth Newsletters, Part B News - 2017 Issue 3 (March)
No insurance? Tag fees to your highest non-Medicare payers’ fees
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Article Overview
This short Part B News Q&A explains how practices and hospitals may approach pricing for uninsured or financially stressed patients. It is aimed at practice administrators, revenue cycle staff, and healthcare finance leaders who need a high-level overview of common self-pay pricing and financial assistance policies, including how those policies are framed relative to payer reimbursement, poverty guidelines, and payment plan programs.
Why This Topic Matters
Uninsured pricing and financial assistance policies can affect patient access, revenue integrity, and consistency with payer agreements. Understanding the broad policy approaches discussed in this article can help organizations align billing practices with internal charity care and self-pay guidelines.
What You Will Learn
- Common approaches to setting self-pay charges for uninsured patients
- How hospitals and practices may structure charity care and financial assistance policies
- The role of poverty-guideline-based sliding scales in patient assistance
- Options for offering installment-based payment plans to patients with financial hardship
- Compliance considerations when offering discounts to patients with insurance
Who Should Read This
- Practice administrators
- Revenue cycle leaders
- Billing and collections staff
- Hospital finance teams
- Healthcare consultants
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