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Small percentage of uninsured patients generate most of hospitals' self-pay revenue

December 14, 2018 / Jeff Lagasse

Upwards of 30 percent of self-pay accounts -- those patients without health insurance or those who have a patient balance after insurance -- will generate more than 80 percent of the self-pay revenue collected by hospitals, finds a new TransUnion Healthcare analysis. Which means that, if hospitals aren't optimizing their revenue cycle, they could potentially be leaving millions of dollars on the table. TransUnion released this information as part of a healthcare insurance discovery campaign. The findings are significant because the number of patients without health insurance increased to more than 12 percent at the end of 2017. And patient balances after insurance, or PBAI, have been steadily rising, increasing from 8 percent of the total bill responsibility in the first quarter of 2012, to 12.2 percent during the same period in 2017.