"High-deductible health plans were supposed to make us better health care consumers, but they have failed," said Donald J. Palmisano, Jr., executive director and chief executive officer of the Medical Association of Georgia."They force people attracted by low premiums to choose between health care and housing, or food. They're an idea that turned out to be bad for both patients and doctors."

While both employers and their employees may have been drawn to these plans by lower premiums, those choices can generate long-reaching complications for both patients and doctors. According to the study, "HDHPs increase provider responsibility to collect patient out-of-pocket payments, explain benefits, and help patients anticipate costs."

According to the survey, physicians are making other changes to their care recommendations based on a client's financial situation. These include:

• 66% have changed their decision to prescribe a drug
• 61% changed the type of medical treatment
• 86% changed what type of drug they prescribed

Per the report, only 15% of all physicians surveyed feel they are very prepared to have financial discussions with patients, while 75% say they don't have the information needed to discuss the cost of care with patients. Even literature or other informational materials that could help patients make informed decisions may be in short supply, and just 40% of physicians offer tools to help patients understand costs.

As a result of the uncertainty around costs, physicians may be changing their treatment approach while patients could be negating or postponing health care treatment altogether. The survey indicates that 52% of physicians surveyed often change which drugs they prescribe due to patient cost concerns, while 44% said that they sometimes change the type of treatment provided for the same reason.

When asked in their opinion how often patients refused or delayed treatment due to cost concerns, 20% of physicians surveyed said "often" and 60% indicated "sometimes." When patients do opt to go ahead with treatment, recovering the payment can become challenging for providers. Among physicians surveyed, more than 40% said it takes 60 days or more to receive a payment.

"Before COVID-19, patients had to delay or forego medical care due to the financial challenge of satisfying their insurance plan's high deductible," Kelly Kenney, chief executive officer of the Physicians Advocacy Institute said in a press release. "The pandemic has made it clear that making patients wholly responsible for thousands of dollars their insurance plan used to cover benefits no one but insurers."

Read more: 

• Digital tech doesn't solve health care's accessibility problem
• Unaffordable health care results in more employee sick days
• 3 side effects of HDHPs, and how to monitor and manage them