Becker's ASC Review

January/February 2022 Issue of Becker's ASC Review

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44 HEALTHCARE NEWS Medical debt in the US: 11 statistics to know By Marissa Plescia M edical debt plagues many Americans, was worsened by the COVID-19 pan- demic and disproportionately affects people of color, according to studies, surveys and articles Becker's has reported. Here are 11 statistics on medical debt in the U.S.: 1. ree in four Americans owe more than $2,000 in medical debt, a Dec. 8 survey by Discover Personal Loans found. 2. Eight in 10 Americans with existing medi- cal debt from that survey said they chose to delay medical care because of the costs. irty-seven percent have had to skip pay- ing other bills because of debt. 3. Also in the Discover Personal Loans survey, 53 percent of those with existing medical debt said they have had to take on additional medical debt during the CO- VID-19 pandemic. 4. Sixty-three percent of respondents in that survey said they are anxious about paying for medical debt, while 47 percent are concerned about their health improving. 5. A survey by TransUnion Healthcare found that 35 percent of patients with outstanding medical bills deferred care in the last year because of unpaid debt. 6. Medical debt collection especially hurts Black Americans. Twenty-eight percent of Black households have medical debt, Bloom- berg reported Nov. 22. Seventeen percent of white households have medical debt. Ameri- cans' past-due medical bills on U.S. credit files add up to $140 billion. 7. Only less than 1 percent of total revenue is brought in to hospitals through billing tactics such as garnishing wages, charging high interest rates, putting liens on homes and suing patients, Bloomberg also reported. But these tactics are more commonly used against people of color. 8. Black patients aren't always informed about financial assistance, according to Bloomberg. A Maryland Consumer Rights Coalition poll found that less than half of Black re- spondents were aware of hospitals provid- ing free or low-cost care for low-income patients. is compares with 79 percent of white respondents. 9. In Wisconsin, hospital lawsuits for unpaid medical bills increased by 37 percent from 2001-18, a Dec. 6 Health Affairs essay found. 10. e Wisconsin study also discovered that per 1,000 Black residents, there were 1.86 lawsuits for unpaid medical bills in 2018, compared with 1.32 per 1,000 white residents. 11. RIP Medical Debt has recently partnered with six organizations to help erase medical debt. e charity has assisted in relieving more than $5.5 billion in debt, according to its website. For every $1 donation, $100 is relieved. n Hospital closing 3 outpatient clinics to address staff shortages By Alan Condon Y akima (Wash.) Valley Memorial is permanently clos- ing three outpatient clinics to consolidate services and help address staff shortages, according to a Nov. 16 report by yaktrinews.com. The hospital is shutting down its Ambulatory Endoscopy Clinic, which initially closed during the height of the delta variant surge this summer so staff could be redeployed to take care of patients. Procedures performed at the clinic, such as upper endoscopies and colonoscopies, were moved to the hospital where they could be supported by operating room staff. "After carefully considering the best way we can offer these procedures in a safe, sustainable, high-quality manner, Memorial decided to continue performing these procedures at the hospital while modifying the Ridgeview ambulatory surgery center ... which will also take on some of these cases in early 2022," hospital officials said in a Nov. 15 news release. The endoscopy clinic was in a nearby Yakima Gastroenter- ology Associates facility, which will remain open but will cease performing endoscopic procedures. Tanny Davenport, MD, physician executive of medical group operations at Yakima Valley, told yaktrinews.com that the move will be beneficial for patients because "we're resuming services that we had to earlier in the pandemic and increasing access so that they can get their needed colonoscopies or other endoscopies." Yakima Valley aims to perform 6,500 endoscopies a year, which it did in 2019, according to Dr. Davenport. In addition, the hospital moved Yakima Lung & Asthma from its previous location to Yakima Valley Memorial Heart, Lung & Vascular on the hospital campus. The move will allow pulmonologists, who are also critical care physi- cians, to be closer to the campus should their services be needed elsewhere. On Nov. 22, the hospital also closed the Zillah Family Medicine clinic, with Jonathan Davenport, MD, its sole provider, relocating to the Pacific Crest Family Medicine clinic in Yakima. Hospital officials said they have no plans to close or con- solidate services at any other outpatient clinics. n

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