State of Healthcare Affordability: The Provider Perspective 2025


Patients are shouldering more costs — and providers are paying the price.

In 2024, bad debt surged 14%, while collection rates remained stagnant at below 25%. Many in-house payment plans carry 20-30% default rates. Without a new approach, revenue leaders risk tying up capital and sending even more accounts to collections. This report — based on a Healthcare Financial Management Association-partnered survey of 213 health system revenue cycle leaders — reveals strategies that work in the real world.

Inside the report:

  • Performance benchmarks from hospitals with $100 million to over $25 billion in annual revenue
  • How UTMB achieved a 25% lift in overall collections and a 37% lift in pre-service collections with patient-friendly financing
  • Practical recommendations to reduce financial risk, improve cash flow, and make care more affordable

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