Credit Scores and Your Hospital Stay

Hospitals have long struggled with handling delinquent medical bills of their patients.  In recent years the business of identifying potentially risky customers in advance of rendering medical services has picked up steam.  Credit scores have been used by lenders, landlords and insurers to evaluate consumer’s financial risk.  Now the business of handling and managing medical bills has moved into the arena of credit scores and credit profiles.

The medical credit score is intended to be similar to the credit score that lenders review when determining the risk level of a consumer that apples for credit.  The concept of the mortgage lender or credit card company that looks at a credit report to determine a loan or credit card approval is moving to a hospital or other healthcare provider who will review a medical credit score to determine how likely a patient is to repay their medical bill on time. 

From the hospital or medial service provider’s point of view, this is a tool for more efficient hospital billing and collections.  But most patients that hear of this practice are surprised to learn that they’re being subjected to any form of credit or financial analysis.   Even more importantly, some groups and patients are questioning whether this will develop further and patients may be denied care if their credit score is too low.

Another clear concern is the amount of errors in existing credit reports.  Credit scores can be complicated and sometimes hard to fix and the likelihood that these problems will happen with medical credit scores and create more problems in the health care sector is a grave concern. 

Credit scoring models in the health care industry have the potential to be a very large business, with the large rate of unpaid bills.  Medical credit scores or health care score were initially designed for use in post treatment billing.  The medial providers use the information to determine how aggressively or which procedures to employ top collect on a medical bill.  But, again the question of any data being used in unforeseen ways is a big concern for many consumers.

For those consumers that are concerned about whether a hospital should have access to their credit history or credit score or even their financial records, make sure to read all the admission papers carefully that are asked to be signed.  Any organization, including a hospital, needs to have the consumer permission to obtain information about their specific credit history.

Even while credit scores and credit histories have become increasingly important in most consumers day to day lives, it is hard to imagine how the use of credit profile and credit scores use could be employed in such a manner.

In the end, whether the medical credit score concept is accepted or not, this is another reason why it has become so important that consumers check their credit reports and credit score.  By knowing what is in your credit report, consumers are able to see any erroneous data that should be corrected and all claims of debts that have been reported in the credit history including medical claims that were made in a credit report.

The growing use of credit reports and credit scores makes it imperative that consumers track and dispute any items that were reported as unpaid and challenge any claims that can adversely affect their credit rating.

Drawbacks of Credit Cards and Credit Use

One of the primary reasons consumers run into credit issues and subsequently suffer with a low credit score is too much credit card debt.  Excessive and unmanageable credit card debt not only causes credit and credit score problems but also is a primary cause of personal bankruptcy filings.

The use of credit usually involves spending money that is not readily available.  Obtaining a home mortgage is one form of credit in which borrowers use the money extended with the credit to buy a house.  Most individuals would not have the cash available to buy a home without credit being extended with a mortgage.  Historically, obtaining a mortgage to buy a house has been a sound use of credit since the borrowed funds were used to purchase and asset, and that asset usually appreciates in value while the debt obtained to buy the assets is reduced in value over time with monthly mortgage payments. 

Credit card debt is also used to make purchases with money not readily available, similar to mortgage loan used to buy a house, but credit card debt is usually incurred to purchase disposable items not assets.  Credit card purchases are rarely used to buy an asset that is going to appreciate rather they are used for toys, trips, TVs and related consumption goods. 

Since consumers can spend more than they currently have with credit, they can easily spend more than they can afford.   This is true when credit is used to buy a home but is especially true or more common when credit cards are used.  The primary reason is that access to credit cards has been relatively easy and accessible allowing more consumers to lose control over this type of credit. 

With credit card use, as the credit card balance increases with purchases and other transactions, the minimum monthly payments also increase, and soon many credit card users find themselves in over their head.  This problem is exacerbated if interest rates on the credit card are high or have become high due to late payments and the credit card fees are accumulating.  Unmanageable credit card monthly payments tens to lead to late payments and a deteriorating credit history.

Credit card debt generally carries a high interest rate.  When someone buys a home, the interest rate on the loan is often 10% lower than the rate on a credit card.  Since credit cards are so prevalent, very few consumers pay attention to just how expensive credit card debt is. 

Due to these high interest rates, the minimum monthly payment on the total balance due may cover little more than the monthly interest charge.  Consequently, the minimum payment may only minimally decrease what is already owed.  The low minimum payments, high interest rates and ease of access frequently adds up to trouble for many consumers who end up struggling to pay off the debt they have accumulated to buy everyday items.  The end result is a poor credit score, added stress and a decreased standard of living. 

Many credit card holders try to manage the high interest rates by accepting promotional credit card offers to transfer credit card balances or open new credit cards with a lower rate.  Often these moves simply exacerbate the debt load problem by adding new debt without paying off the accumulated credit card debt.  

Some of the reason that new low rate credit cards and balance transfers fail to help is that the low rate offers may be offered on balance transfers with new purchases and cash advances are billed at a higher interest rate and the charges offset the savings you would otherwise enjoy. There are also limitations on the new low rates that are frequently ignored by the card holder as well as the problem that many credit card holders fail to stop using the older credit cards.  The result again is higher monthly payment that can lead to late payments, a poor credit history and a low credit score.

To minimize the chances of being a victim of too much credit card debt and a low credit score as result of these burdensome payments, minimize or eliminate credit card use.  If the funds are not available simply forgo the purchase.  The headache of trying to pay off high rate debt is hardly worth the joy of a new TV, dinner out or other immediate consumption items.  Low credit scores and poor credit histories start with too much credit card debt that started with just a little credit card debt.

Credit Scores and Credit Limit Changes

Credit scores are influenced and change up and down to a number of attributes found in an individual’s credit report.  The FICO credit score is the most common credit score used by lenders.  In calculating credit scores, the FICO score is derived by analyzing the data in an individual’s credit report and will change as the credit report data changes. 

A number of factors are weighed in a credit report to come up with the credit score.  Factors include length of credit, payment history, amounts owed, amount of new credit, types of credit used and other factors.

One of the other factors used to determine the credit score is the amount of available credit in relation to credit outstanding.  This is further analyzed by the proportion of credit lines used or the proportion of credit line balances such as credit card balances in relation to the total credit limits on certain types of revolving accounts.  The FICO score considers the consumer’s credit limit to evaluate what is referred to as the credit utilization rate or how much available credit is being used at the time the score is calculated.  The greater an individual’s credit utilization rate, the greater the risk that person will eventually default on a credit account.

Therefore it is reasonable to find two individuals that have fairly similar credit histories and payment patterns and one of these individuals has incurred a significant amount of credit card debt in relation to their available credit limits, while the other individual has relatively low credit card balances in relation to the available credit and the two scores will be different.  The individual with the greater amount of debt relative to available credit is penalized for that position.

The credit utilization rate factor that goes into credit score models is why the common advice on credit card for consumers is to avoid running up one credit card to its maximum limit, rather it is generally believed that to maintain or improve a credit score, the credit card balances should be spread out among different cards and therefore reduce the relative amount of debt to credit limit or credit utilization rate per credit card. 

With credit cards companies reducing their credit card exposure by dropping credit card limits on customer accounts, it is possible that these consumers are now finding their credit scores dropping as well.  In a recent FICO score study, the company found that that approximately 20 percent of the U.S. population experienced a reduction in total revolving credit between October 2008 and April 2009.  In general big reductions in credit limits will work the same as increases in the debt by reducing the amount of available credit and subsequently result in a negative impact on a credit score.

According to data from FICO score, the scores derived assess a lot of data and the effect of a single factor like a credit limit reduction on an individual credit score will depend on what other data is on the credit report and how much the credit card limit or line is reduced.

The key factors that impact the credit score in conjunction with a credit limit reduction, according to the folks at FICO score, include:  the amount by which their credit limit is reduced, what actions are taken by the consumers in reaction to the reduced credit limit, such as, late monthly payments, changes in the account balances, or opening a new accounts, as well as any other changes in the individuals credit report after the credit limit is reduced.

The negative impact of the reduced credit limit is therefore substantially mitigated by either positive steps of the consumer such as reducing credit balances or financial missteps such as late payments.  A credit limit reduction on a single credit card account won’t necessarily damage someone’s credit history or credit score.  The final impact will vary depending on each person’s unique credit profile.

Get Out of Debt, a Starting Point

Debt is in every household.  Too much debt can be paralyzing and you may be in over your head and not even fully realize it.  If you suspect that you’re carrying too much debt in the form of credit cards, mortgages, car loans and other debt instruments, you need to determine your exact position and then, most likely, begin working to free yourself from the weight of the financial burden.

Too Much Debt

It’s expected, and actually a good thing, to have some debt.  Your mortgage, for example, is one of your largest tax advantages.  But there are few, if any, perks to having a balance on credit cards or other loans.  But despite this Americans continue to spend using credit cards.  The average American now has over $9,000 in credit card debt and that number’s not getting any lower.

Acceptable debt levels vary by the individual, but a good rule of thumb is looking at percentages.  If 20% or more of your take home pay is going to debt that is not of the mortgage variety, you’re looking at too much.  Likewise, if more than 30% of your gross income is tied up in your home, you are most likely becoming or already are overextended.

It may be that your numbers are fine, but you still feel finances are tight.  If you struggle to make the minimum payments on your debts or can’t even list what you owe on what loan, you’re looking at too much, and it’s time to make a change.  Many people who have too much debt don’t think about it.  They get their bills in the mail and make the minimum payments or even end up paying late fees on a regular basis without much thought of paying off the whole balance.  This is how individuals go deeper into debt and incur more stress. 

Making a clear decision to get involved in debt elimination and finding out how to create a plan will actually get people into a position of less debt, better cash flow and less stress.  The process will certainly help your credit, credit report and credit scores along the way.  Making a plan to get out of debt is the starting point.
Budget

The first step in resolving your debt is to budget correctly each month and monitor the money you have.  First, you need to determine what your monthly income or earnings are and what your expenses are.  For an entire month, keep track of all spending.  Where is your money going?  Write down your bills and keep receipts from credit card transactions.  Then, at the end of the month, you can collect your items in a single list and tally up the total.  If this number is higher than your income, you know you’ve got some work to do.

Write down the names of the different accounts that you have to make payments on, the order they need to be paid, and how much money you need to eliminate that debt.  Divide those transactions into essential ones and nonessential.  Bills are essential, but some bills such as cable or cell phones may not be.  It’s a personal decision.  Nonessential items are things such as eating out, entertainment and travel (unless its part of your career.)  As you make your budget, you will be able to identify what your spending habits are.  The next logical step is to items to remove the nonessential ones.  Cut back on eating out and stick to the free coffee in your employer’s break room.  Take the bus rather than trying to park downtown and cancel all the premium packages on the cable you never watch anyway.  The key here is to eliminate or at least reduce expenses that are lowest in priority.  Trim the fat from your spending and design a budget that is reasonable, yet tight.

Paying Down Debt

Once you have your spending under control, stop spending on your credit cards if possible.  If you must charge things, use a debit card so that the money comes directly from your bank account or open a new account with a low limit to generate a balance that you will now be paying off monthly.  Then tackle the old debt.

The plan for getting the old debt paid off is to focus on one debt at a time.  You still make regular payments on all of the debts that you can, but only focus on paying off one at a time.  Pay off the loan with the highest rate of interest first.  The higher the interest rate on a credit card, the more you pay over time.  Pay the minimum on every card except your target.  Throw as much as you can toward that card until you have it paid off.   In the beginning, cut back on expenses as much as possible to get the first debt paid off.  Once the first debt or credit card is paid off, you take the money that you had been applying to that debt and apply it to the next debt that you want to pay off.   Then move on to the next card – this one should have the next highest interest rate.  Finally, you’ll have all of your debt resolved and you’ll be free to move forward.

The creation of a budget is always a good project so you on work on a path to successful debt management and elimination and then stay on a plan to live a better lifestyle without the need for excess debt.

Using Credit Wisely

Now that you’ve gone through the trouble of paying off your debt, you must work to eliminate the possibly that you’ll end up in the same situation again.  Save for anticipated and unanticipated expenses to keep from using your credit cards in emergencies.  Find credit cards with a low interest rate should you wind up with a small balance for a month or two.  If you do find yourself using your credit card, be as frugal as possible and use it only for items that are long term investments, not incidentals such as travel or meals out.

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