The Trends in Healthcare Payments Ninth Annual Report. For the last nine years, InstaMed has released this report to objectively educate the market and promote awareness, change and greater efficiency through quantitative data from the InstaMed Network and qualitative data from healthcare providers, payers and consumers surveyed nationwide.


This year’s report is designed to examine the most impactful healthcare payment trends from the unique perspectives of the key industry stakeholders: consumers, providers and payers.

Healthcare’s Blind Spot: The Consumer Experience
Payers and providers must rethink the payment experience for consumers as payment responsibility continues to increase for both health plan premiums and medical bills. This urgency is heightened as other industries set higher standards for consumer expectations. According to the report:

  • 70% of consumers are confused by medical bills
  • 56% of consumers would not be able to pay a $1,000+ medical bill
  • 93% of consumers were surprised by a medical bill in 2018

Providers Need Payment Assurance
Providers are seeing the impact of the sharp rise in deductibles and patient responsibility. Yet, there has not been a major overhaul in how providers are tackling the challenges of collecting from patients. According to the report:

  • 90% of providers leverage paper and manual processes for collections
  • 69% of providers saw an increase in patient responsibility in 2018 compared to 2017
  • 77% of providers say that it takes more than a month to collect any payment

Pressure on All Fronts for Payers
Payers face pressure from shifts in federal mandates and new competition from leaders in retail. Payers need to drive better member experiences, while looking for ways to optimize costs through the elimination of paper and manual processes. According to the report:

  • 71% of consumers are confused by Explanation of Benefits (EOBs)
  • 72% of consumers want eStatements for health plan premium bills, yet 42% of consumers cannot receive eStatements from their health plan
  • 91% of providers still receive paper checks from one or more payers, yet 82% of providers prefer EFTs from payers


Trends in Healthcare Payments 2018 Infographic

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