You may be of the opinion that as a doctor you can charge what
you want to charge. Of course, you should never overcharge,
and no one should object to your charging a fair price for
rendering your services. And if you want to give someone a
break by taking a little less cash from someone who needs your
All healthcare providers need to be aware that there are both
appropriate and inappropriate ways to discount your fees. Both state
and federal laws can impact your practice financial policy regarding
fee discounts. Additionally, we recommend carefully reviewing Chapter 1.5-Fees of the Behavioral Health DeskBook for important information on fee schedules and discounts.
Insurance premiums and deductibles are going up and coverage seems to be going down. Even with ObamaCare, there will be plenty of folks out there without insurance or coverage for certain types of services. The shift, referred to by some as the “rise of the self-paying patient,” is creating nothing shy of a crisis for many healthcare providers.
It appears that the repeal of the Sustainable Growth Rate formula (SGR) could finally be a real possibility. On Thursday, March 26, The U.S. House of Representatives overwhelmingly passed H.R 2, The Medicare Access and CHIP Reauthorization Act which includes both repeal and replace the flawed SGR formula that has caused a great deal of disruption to the Medicare payment system over the last several years. H.R.
Consumer Directed Healthcare Plans (CDHP) were developed as a way to shift the control of healthcare dollars from the insurance companies to the patient (consumer). The goal of these types of plans is to allow the patient to take a more active role in their own health and healthcare decisions in an effort to control costs.