GS Logo
The Green Sheet, Inc

Please Log in

A Thing
View Archives

View PDF of this issue

Care to Share?

Table of Contents

Lead Story

Contactless still in the race


Industry Update

Governator terminates data protection bill

It's thumbs down for proposed illegal Internet gambling regs

Want fries with that MRI? Health care's looming retail environment

SoCal burns, payments industry responds

Web-based tools to help merchants tackle PCI compliance

WSAA's winning meeting

SCA explores the contactless, mobile realm

Use rapport to score with cash advance

Mike Evans
2nd Source Funding


Craig Lesser

NCR drops Tidel ATM brand

Tracy Kitten

Industry Leader

Adam Atlas –
Across the airwaves, into law


Tomorrow has come for PEDs

Paul Rasori


Street SmartsSM:
Surge with emerging markets

Dee Karawadra
Impact PaySystem

Changes afoot for signature debit

Ken Musante
Humboldt Merchant Services

B2B: Rich in opportunity

Aaron Bills
3Delta Systems Inc.

Widgets: Isn't this fun?

Joel and Rachael Rydbeck
Nubrek Inc.

Company Profile

eProcessing Network

New Products

New prescription for the PCI pain?

VoyenceControl PCI Advisor
Company: Voyence Inc.

Click-and-go reordering for MLSs

USA ePay Reseller Online Product Order Form
Company: USA ePay

Online gadget brings Zen order to scheduling



Not rich, wealthy


Contactless creeps like early dept: Is a sprint ahead?




Resource Guide


A Bigger Thing

The Green Sheet Online Edition

November 12, 2007  •  Issue 07:11:01

previous next

Want fries with that MRI? Health care's looming retail environment

In an age of spiraling health care costs, including out-of-control hospital expenses and insurance premiums, a recent Celent LLC webinar predicted the health care sector will, by necessity, become more like a retail environment.

As Red Gillen, Senior Analyst for Celent's Banking Group, explained, "There have been double digit increases in health care costs, and premiums have been skyrocketing, which has really led to the creation of the consumer directed health care movement (CDH) as a way to reduce costs.

"If consumers or patients assume a greater share of their medical care through the use of deductibles, those consumers will be more prudent in only accessing health care that is medically necessary."

Gillen noted this means out-of-pocket expenses are rising, and there's a greater shift away from insurance companies - that is to say "the payers making payments to doctors and other providers _ with the shift obviously moving into the laps of consumers."

As a consequence, consumers will pay for medical care at the POS, such as the doctor's office or hospital, with a variety of prepaid cards much like they pay for DVD players at electronics stores or burgers at quick service restaurants today.

A number of barriers must be hurdled, however, before this future will be realized. These include:

Where's the menu?

But the biggest roadblock, according to Gillen, is the lack of transparency in terms of patients' (consumers') financial responsibility at the point of service.

"When you go to the doctor or you go to the hospital, it is extremely unlikely that you know how much that service is going to cost you, unlike a retail environment," he said. "It's very difficult for people to pay if they don't know how much they owe."

Despite the challenges facing the implementation of the CDH model, Gillen quoted statistics that highlight the huge potential for prepaid health care cards.

In 2007, consumers will pay $250 billion in out-of-pocket health care costs. $242 billion of that total is paid with traditional forms of payment, such as cash, check, and credit and debit cards. The remainder - $8 billion - is tendered with prepaid cards such as flexible spending account, health savings account (HSA) and health reimbursement arrangement cards.

If 10% of that $242 billion in traditional payments is shifted over to prepaid cards with an estimated interchange rate of 1.5% per transaction, Gillen estimated it would conservatively mean "$363 million of revenue alone for industry players," not accounting for other costs such as processing fees.

Of the payment cards mentioned in the webinar, Gillen foresees HSA cards as having the greatest potential for growth over the next five years.

The reason behind the optimism is that HSA cards are "tied to a high deductible health plan that is relatively low cost for employers," Gillen said.

"Therefore, they are able to offer [HSA cards] to a wide spectrum of their employee base."

Notice to readers: These are archived articles. Contact names or information may be out of date. We regret any inconvenience.

previous next

Spotlight Innovators:

North American Bancard | USAePay | Impact Paysystems | Board Studios