Outpatient Facility Coding Alert

The New Revenue Reality:

High-Deductible Health Plans (HDHPs)

230%: Percentage increase in average annual out-of-pocket costs per patient from 2006-2015

40%: Percentage of privately insured people under 65 enrolled in HDHPs.

29%: Percentage of employees enrolled in employer-sponsored HDHPs in 2016, up from 4% in 2006.

33%: Percentage of companies that offer only HDHPs to employees

$774: Cost increase of average deductible for people with employer-sponsored coverage between 2006 ($303) and 2015 ($1077).

$4,300: Amount average American household spent on out-of-pocket co-payments and deductibles for health care

26% … of Americans report they had trouble paying their medical bills in 2015.

42% … of Americans say they spend all or most of their savings on medical bills.

20% … of Americans say they don’t get a good value for their health care.

20% … of Americans say paying for prescription drugs is a struggle.

About 25% … of a medical practice’s revenue comes from self-pay today.

About 50% … of a medical practice’s revenue will come from self-pay within the next five years, experts predict.

Sources: Kaiser Family Foundation, Bureau of Labor Statistics, National Center of Health Statistics, Robert Wood Johnson Foundation, Medical Group Management Association


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Outpatient Facility Coding Alert

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