The Tennessean: Why more than half of hospital bills don't get paid

By Holly Fletcher: Hospitals and medical practices share a growing problem with those they treat: Patients aren't paying their bills.

Working people are on the hook for an increasingly large portion of the cost of their care, as insurance policies pay for less. It's a trend that is not reversing — and it’s causing financial distress for families and CEOs alike.

In health care, the billing process is called revenue cycle management. It’s a complex system of diagnostic codes, services, insurance benefit analysis, billing departments and software.

Larry Van Horn, executive director of health affairs at Vanderbilt University's Owen Graduate School of Management and professor, Department of Health Policy is quoted.

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