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CDHP
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"CDHPs and Managed Care: The epitome of dissimilarity.  Why anyone would think that it is acceptable to combine them on one contract with a common set of reimbursement rules is simply incomprehensible."    ... Maria K Todd, MHA PhD 

 

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Income Characteristics of CDHP Account Holders

A minimally publicized  report on the income characteristics of account holders published by AHIP used information on one million account holders from the five largest HSA banks. Since it didn't have direct income information on these accounts, it used the average income in the census tracts where the account holders live, which is a pretty accurate gauge.

The study breaks income groupings into five categories and found:

  • 3 percent of account holders were in the lowest income group;
  • 45 percent were in the next lower-middle income group;
  • 34 percent were in the middle-income group;
  • 12 percent were in the upper-middle income group; and
  • 5 percent were in the upper-income group.

The report does not say what portions of the overall population fall into each group, so it is impossible to say if account holders are over- or under-represented in any of the categories. But the account activity of each group in 2008 is very interesting because the deposits and withdrawals are very much the same, even though the income levels are vastly different:

  • Low Income -- $784 input, $489 outgo;
  • Low Middle Income -- $958 input, $608 outgo;
  • Middle Income -- $1,202 input, $742 outgo;
  • Upper Middle Income -- $1,464 input, $892 outgo; and
  • Upper Income -- $1,766 input, $1,051 outgo.

Anyone who says that HSAs are a "tax shelter for the rich" are sadly misinformed. Ask any hospital CFO about where the bad debt is coming from these days.


SOURCE: AHIP Research

 

CDHP Glossary

A little glossary to help you sort it all out

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5 Key Steps to Success with CDHP Contracting

Whether you are a hospital CFO or revenue cycle manager, here are five key steps you need to take in order to ensure financial success with these plans.

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"Dr. Maria Todd is the finest speaker on managed care and international healthcare in the world. And now she is mentoring healthcare professionals at hospitals and clinics worldwide for healthcare reimbursement and managed care as a coach and consultant. Whether you need a dynamic world class speaker for your event, or are wondering who would be the best coach to prep you for an upcoming managed care negotiation, Maria Todd should be your first choice."   Jana T. , Contracts Administrator, Revenue Cycle Partners, International Payer Relations Department (2010)

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