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April 13.2025
3 Minutes Read

Patient Portals and Charges: Exploring Older Adults' Experiences and Your Practice's Future

Patient Portals and Charges: Exploring Older Adults' Experiences and Your Practice's Future


Understanding the Rise of Patient Portals Among Older Adults

As the landscape of healthcare continues to evolve, patient portals have emerged as an essential digital tool for older adults seeking streamlined communication with their healthcare providers. A recent survey by the University of Michigan highlights that over 75% of older adults have access to these portals, with nearly two-thirds having engaged in messaging their doctors in the past year. This shift marks an important trend toward more convenient and efficient healthcare interactions, particularly for patients managing multiple chronic conditions.

Financial Implications of Patient Portals: Who Bears the Cost?

Despite the convenience these portals offer, the findings reveal a significant concern: 13.1% of surveyed adults over 50 reported being charged copays for utilizing portal messaging. Notably, rates of charging were similar among older adults with private insurance and those on Medicaid, raising questions about accessibility for low-income patients. Conversely, traditional Medicare users experienced fewer charges, with only 5.1% reporting costs. These discrepancies in billing practices underscore the financial burdens that could potentially limit access to beneficial telehealth services.

Impact on Healthcare Equity: Are We Leaving Some Behind?

The examination of telehealth billing policies, especially those expanded during the COVID-19 pandemic, indicates an underlying issue of equity in healthcare access. Lead author Dr. Terrence Liu emphasizes that although the precise costs incurred by these older patients remain unclear, the data suggests that out-of-pocket expenses could deter vulnerable populations from engaging with advantageous health technologies. For concierge medical practice owners, this presents a dual challenge: not only must they understand the billing landscape, but they must also reflect on how this affects their patient base.

Telehealth Trends: Shifting Patient Expectancies

In our industry, the increasing use of digital communications through patient portals reflects a critical shift in patient expectancies. Patients are embracing technology that simplifies their healthcare interactions, and they are increasingly valuing the benefits of these modern conveniences. For practice owners aiming to maintain competitive advantages, adapting to this digital trend is essential. Practices can enhance patient loyalty by offering seamless, charge-free portal communications, ultimately fostering a more trusting and open physician-patient relationship.

Strategies for Enhancing Patient Portal Utilization

Ensuring patients are aware of the value these portals provide—and that associated costs are managed effectively—will be crucial for future success. Concierge practices could consider implementing strategies such as:

  • Transparent Communication: Clearly outline any potential costs associated with using portal messaging at the outset. Patients appreciate candid information regarding finance and accessibility.

  • Education and Support: Provide resources and training for older adults to maximize their use of patient portals. This commitment fosters empowerment and strengthens patient engagement.

  • Assessing Care Models: Evaluate the practice's telehealth policies and explore options to subsidize costs for patients who might hesitate to use these valuable tools.

Looking Ahead: The Future of Patient Portals and Telehealth

As the concierge medical model continues to adapt and transform, understanding the broader implications of patient portals will become increasingly vital. Telehealth isn't merely an adjunct; it's becoming a central component of how care is delivered and accessed. With technology enhancing connectivity and increasing patient engagement, practices must position themselves strategically to leverage these benefits. Future policies might address the disparities currently observed in billing practices, creating a more equitable healthcare landscape.

Conclusion: Take Action for a Better Patient Experience

The growth of patient portals among older adults unveils a fitting opportunity for concierge medical practices. By examining and refining how these tools are offered, practices can significantly enhance patient satisfaction while effectively managing the financial aspects involved. Consider investing time in optimizing the patient portal experience to ensure it's both accessible and useful for all patients, thus securing their loyalty in an increasingly digital world.


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