How do social determinants of health impact revenue cycle management?

Social determinants of health, such as socioeconomic status, education, and access to transportation, play a critical role in influencing patient interactions with the healthcare system. By impacting patient access to care, these factors can directly affect the revenue cycle management process.

When patients face barriers such as financial instability or transportation issues, their ability to seek timely care can be compromised. This may lead to increased delays in treatment, resulting in missed appointments or late payments. Additionally, a patient’s willingness to pay can be influenced by their economic circumstances and perception of the value they derive from healthcare services. If patients do not have the financial means to afford care or believe that their health outcomes will not improve with treatment, they may avoid accessing necessary services altogether.

Consequently, healthcare organizations must take these determinants into account when developing their revenue cycle strategies. Understanding the demographics and social factors that affect their patient populations can guide efforts to improve access, enhance patient engagement, and ultimately drive revenue by ensuring that more patients receive care in an appropriate and timely manner.