cost is a barrier for providers to use patient portal

by Dr. Jovanny Schimmel MD 9 min read

The Cost of Implementing a Patient Portal - iSalus

9 hours ago May 15, 2018 · May 15, 2018 - As a fundamental patient engagement technology with numerous reimbursement payments tied to its adoption, providers have long searched for the secret sauce to facilitate high patient portal use. Medical professionals not only aim to meet meaningful use and MACRA requirements, but also want to foster better patient activation in care through the … >> Go To The Portal


What are the barriers to patient portal implementation?

May 15, 2018 · May 15, 2018 - As a fundamental patient engagement technology with numerous reimbursement payments tied to its adoption, providers have long searched for the secret sauce to facilitate high patient portal use. Medical professionals not only aim to meet meaningful use and MACRA requirements, but also want to foster better patient activation in care through the …

Why don’t more patients use patient portals?

May 11, 2018 · Portal use can also have a positive effect on self-management of conditions [15-18], communication between patients and providers, quality of care [16,17] and participation in treatment . Patient empowerment can also be improved; the accessibility of information can especially contribute to “patients’ knowledge” and their “perception of ...

How can providers improve patient engagement with patient portals?

Jul 08, 2020 · - Disinterest in portal use was linked to patient satisfaction with the patient–provider relationship, so as participants with a satisfying provider–patient relationship appeared less in need of the patient portal. - Barriers to learning the system such as lower computer literacy and the time required to learn

Why is patient portal adoption still hitting 90 percent?

May 28, 2021 · The cost of integrating an educational materials section into a patient portal may range from $5,000 to $ 15,000. Last but not least, there are expenses associated with the development of a custom content management system which supports various operational and service tasks, including content moderation and alert messaging; the functionality would …

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What is the most common barrier to the use of the patient portal?

Among nonadopters (n=2828), the most prevalent barrier to patient portal adoption was patient preference for in-person communication (1810/2828, 64.00%) (Table 2). The second most common barrier was no perceived need for the patient portal (1385/2828, 48.97%).

What are the disadvantages of patient portals?

Even though they should improve communication, there are also disadvantages to patient portals....Table of ContentsGetting Patients to Opt-In.Security Concerns.User Confusion.Alienation and Health Disparities.Extra Work for the Provider.Conclusion.

How much does it cost to implement patient portal?

A patient portal app for the health care sector usually costs $12,500 to build. However, the total cost can be as low as $5,000 or as high as $20,000.

Why do patients not use patient portals?

The researchers found no demographic differences among nonusers who said that a technology hurdle, lack of internet access or no online medical record was the reason why they did not make use of a patient portal.

What are the pros and cons of patient portal?

What are the Top Pros and Cons of Adopting Patient Portals?Pro: Better communication with chronically ill patients.Con: Healthcare data security concerns.Pro: More complete and accurate patient information.Con: Difficult patient buy-in.Pro: Increased patient ownership of their own care.

Can you think of any potential disadvantages of patients using the patient portal system within the EHR?

One con to keep in mind with patient portals is that some patients may not have much experience with computers, preventing them from getting the most out of it. Another drawback is the potential for data breaches, so you'll need to work with a vendor that provides robust, secure EHR software.

How can EHR systems reduce cost?

Electronic Health Records Reduce Paperwork Administrative tasks, such as filling out forms and processing billing requests, represent a significant percentage of health care costs. EHRs can increase practice efficiencies by streamlining these tasks, significantly decreasing costs.

What costs are associated with EHR implementation Aside from hardware and software?

The cost of EHR is often one of the first questions organizations ask when selecting new software....What are the hidden costs of an EHR implementation?software licensing.projected maintenance.consulting and training fees.labor including overtime.hardware (if required - usually only required for on-premise installations)

Which contributes to the high cost of electronic health records for the software service provider?

Of the following, which contributes to the high cost of electronic health records for the software service provider? Research & development costs. Which of the following functions a carried out during the check-in steps?

What is a reason for providers to be reluctant to use a patient portal?

The reason why most patients do not want to use their patient portal is because they see no value in it, they are just not interested. The portals do not properly incentivize the patient either intellectually (providing enough data to prove useful) or financially.

Are patient portals effective?

Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes.

Do patients like patient portals?

Eight studies reported that patients or their caregivers want more portal education, training, or support. Two studies found that their participants want human connection as they learn about the portal and how to use it, as well as when they encounter issues.

What are the benefits of patient portal?

Patient portal benefits are numerous – they provide patients access to their health data, allow patients to securely message their providers, and in many cases allow patients to complete administrative tasks such as scheduling appointments and paying bills. Providers have recognized those benefits and nearly universally offer access to ...

Why is patient health literacy important?

Patient health literacy is an integral key to improving patient portal adoption. Just as patients want to see the features they value in way that is navigable, they also want to understand that information. If a patient has low health literacy, they are unlikely to find patient portal data useful.

What is NLP in healthcare?

NLP helps to translate certain clinical terms in the patient portal to make them more understandable for patients. Providers must also do their jobs to improve patient health literacy. This means using patient health literacy tests and offering patient education where applicable.

Why is NLP important?

NLP helps to translate certain clinical terms in the patient portal to make them more understandable for patients. Providers must also do their jobs to improve patient health literacy.

What is patient portal?

In a nutshell, a patient portal is the user-facing component of an electronic health record (EHR) solution, which is intended to simplify patients’ access to medical data — i. e., physician notes, laboratory results, billing information, — and drive patient participation.

What is the educational section of a patient portal?

Designed to replace printed supplementary materials promoting healthy habits and effective chronic condition management, the educational section of a patient portal allows physicians to develop personalized outreach campaigns and unlock the value of technology-assisted population health management.

What is the importance of integration with electronic health records?

Often regarded as the cornerstone of patient portal development, the integration with electronic health records ensures online access to medical information, including after-visit summaries, laboratory test results, medical images and clinical notes. Optionally, healthcare providers may take a step towards a deeper integration with hospital software and allow patients to self-manage the information regarding medication intake, allergies and immunization and upload files, which would be automatically added to their personal health records.

What is eBilling payment?

Leveraged through secure third-party payment gateways, such as Stripe or PayPal, the eBilling feature enables care providers to seek reimbursements in a transparent way, split expenses between insurance companies and individuals and allow patients to pay bills online.

What is a live chat in a hospital?

Besides real-time communication with hospital team and other specialists involved in care delivery, a live chat with file sharing capabilities can facilitate remote diagnosis and consultations for patients with both minor issues and chronic conditions.

What is appointment scheduling?

An appointment scheduler should feature a built-in notification system to alert patients on upcoming meetings via SMS and email and provide the options to fill out pre-visit forms and request referrals. The desirable functionality of an appointment scheduling module also includes the ability to set consultations with more than one physician using a convenient drop-down menu.

Abstract

Background: Patient access to their medical records through patient portals (PPs) facilitates information exchange and provision of quality health care. Understanding factors that characterize patients with limited access to and use of PPs is needed.

Introduction

Patient engagement is a top priority for US health care systems. 1 The adoption of electronic health records (EHRs) is a system-level strategy to involve patients in their health care and increase their ability to make informed decisions.

Methods

Data were from the 2017−2018 Health Information National Trends Survey 5, cycles 1 (H5C1) and 2 (H5C2). H5C1 and H5C2 were nationally representative, self-administered, mail surveys of US adults ≥ 18 years that evaluated public perceptions and use of PPs.

Measures

Access to PPs was assessed with, “Do any of your doctors/health care providers maintain your medical records in a computerized system?” and “Have you ever been offered online access to your medical records by your health care provider?” [1 = yes, 0 = no/do not know].

Analyses

Weighted missing percentage for demographic characteristics was highest for income (9.7%) and race/ethnicity (8%). Missingness on all other variables, including outcome variables, was < 4%. Little’s test showed that missingness on variables collected at both waves was not completely at random (χ 2 = 16505.72; df = 14235; P < .001).

Associations between Patient Characteristics and PPs Access and Use

Roughly 3 quarters of participants (76.9%) reported their provider maintained electronic medical records but only 47.2% reported being offered access to them, 39.2% reported their provider encouraged their use, 27.2% were confident electronic medical records were safe, and 29.3% and 9.3% reported accessing their own or their families’ medical records in the past year..

Associations between Patient Characteristics and Use of PP Functionalities

Knowledge of PP functions varied, with laboratory test results (91.5%) being the most known function and clinical notes (50.6%) being the least ( Figure 1 ). Use of PP functions varied, with viewing test results (84.3%) being the most used function and requesting corrections (7.1%) being the least.

How do you help healthcare organizations?

We are an employer-sponsored benefit that acts as the payer for an employee’s out-of-pocket healthcare expenses. By positioning ourselves at the intersection of three major stakeholders — patients, providers and employers — Paytient is addressing some of healthcare’s enduring pain points.

What are some of the biggest challenges you see affecting healthcare organizations?

From our vantage point, healthcare is moving to a more defined contribution model, like the shift that occurred in the retirement savings market years ago, where companies moved away from defined benefit plans and instead began offering 401ks.

How does your service offering address these needs?

When employees enroll in the Paytient program, they are given a payment card, which they use to pay their out-of-pocket costs in full at the point-of-service, over the phone or online.

What are some key considerations for healthcare leaders when choosing this type of service?

We are passionate about our mission to remove cost as a barrier to care while “doing no financial harm.” Our product does not have any employee-paid interest or fees, and there are no access or withdrawal charges.

What advice would you offer to healthcare leaders when choosing among vendors?

We think the best partnerships share common principles and values. We make sure there is cultural alignment, as this represents the bedrock of a working partnership, before we discuss the features and financial benefits of our platform.

How can healthcare organizations learn more about your company?

To learn more about Paytient, go to www.paytient.co or reach out with questions or comments to hello@paytient.co. You can also hear us speak at the HFMA Leadership Training Conference in Austin, Texas on April 26-28 and at the HFMA Annual Conference in San Antonio in June.

About Paytient

Paytient is an employer sponsored payer that enables employees to manage out-of-pocket medical expenses through interest-free, payroll deducted payment plans. Our mission is to eliminate preventable financial harm for patients, providers, and employers while enabling people to better access and afford earlier care.

Obstacle 1: The physicians themselves

Although proponents and studies say portals can make interacting with and treating patients easier, 4, 5 some physicians are not yet sold on their value or have questions and concerns about the technology. One of the physician's first challenges is learning enough about portals to determine whether adopting one is worth his or her time.

Obstacle 2: The physician's bank account

There's no way around it: Other than receiving meaningful use incentive payments (and avoiding penalties), physicians typically won't get directly reimbursed for using a portal.

Obstacle 3: The practice and its staff

Integrating a portal disrupts practices to varying degrees as it forces staff to manage the increased number of online messages, change how they perform scheduling and refills, and deal with other new ways of doing things.

Obstacle 4: Patient resistance

Patients are increasingly interested in online communication regarding their health care. A 2013 survey of patients showed that a third of respondents who were already online said they were open to asking their physicians questions, making appointments, and getting lab results through their smartphone or tablet.

Obstacle 5: Patient limitations

Sometimes demographics, such as age, income, or language, prevent patients from using a portal. Some patients often have a harder time embracing technology or may be too frail or cognitively compromised to adequately use a portal for their care. Others may not be able to afford a computer or may lack Internet access at home.

Obstacle 6: Security and privacy concerns

Given the frequent news stories of cyber-criminals breaking into the computer networks of retail chains, government databases, and even health care organizations, it's no wonder that some patients are less than willing to access their health records or discuss sensitive matters online.

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