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Integrating and Sustaining Financial Capability Services in Rural Healthcare Delivery: Consumers, Healthcare Providers, and Systems Perspectives
Key Words
healthcare, financial capability, health, financial literacy, rural, health insurance, financial stress
Short Description
Studies of patient adherence to medical therapies show that household financial constraints are a major reason patients fail to obtain care. As the prevalence of cost-sharing between the consumer and health provider expands in the U.S. healthcare system, household finances play an increasingly important role in reducing healthcare access. This symposium addresses the integration of financial capability services into rural healthcare systems with four papers that investigate opportunities to strengthen partnerships between rural health systems and financial capability services. The first paper describes consumers' experiences with their health plans, their understanding of the healthcare system, their perceived and actual out-of-pocket costs, and their levels of financial hardship. The next papers highlight investigations of rural healthcare providers' perspectives on the financial security of their patients and the viability of financial capability service integration to help patients access and pay for healthcare. The last paper shares a feasibility study that explores the sustainability of financial capability services through insurance reimbursement. A timely topic using recently acquired data from surveys and focus groups is presented. Findings underscore the need for financial capability services for patients and provide valuable information about the capacity requirements necessary for integrated, sustained partnerships that support rural community health.
First & Corresponding Author
Suzanne Bartholomae, Iowa State University
Authors in the order to be printed
Suzanne Bartholomae, J. Michael Collins, Carol A. Janney, Carrie Johnson, D. Elizabeth Kiss, Brenda Long