decisionhealth Newsletters, Part B News - 2010 Issue 11 (November)
Eight strategies to deal with high deductible health plans
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Article Overview
This article covers operational and financial strategies for physician practices dealing with high deductible health plans. It focuses on collection processes, front-end payment workflows, staff preparedness, payer contract considerations, and anticipated patient behavior changes. The content is aimed at practice managers, billing staff, and other revenue-cycle professionals who need to understand how these plans can affect payment timing and collection risk.
Why This Topic Matters
High deductible health plans can increase patient balances and make collections more difficult after services are provided. Understanding the broad practice-management issues discussed in the article can help healthcare organizations assess whether their current billing and payer processes are ready for these plans.
Article Sections
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Introduction
Introduces the challenge high deductible health plans can create for practices and frames the article’s collection-focused guidance.
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Eight strategies for managing HDHP-related collections
Presents practical practice-management topics such as verifying benefits, collecting payment at the time of service, preparing staff, reviewing payer arrangements, and anticipating changes in patient behavior.
What You Will Learn
- How high deductible health plans affect practice collections and patient balances
- What operational areas practices should review when dealing with HDHPs
- Which front-office and billing processes may need adjustment
- What payer-contract and patient-communication issues are relevant to HDHPs
- Why patient payment behavior and appointment patterns may change under HDHPs
Who Should Read This
- Physician practice managers
- Medical billers and coders
- Revenue cycle staff
- Front-office staff
- Healthcare administrators
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