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What is a Patient Advocate?

Omid Zad, MD

What is a Patient Advocate?

Last updated: February 26, 2023

As patients, you put a lot of trust in healthcare system to take care of you or your loved ones and make the right decisions for your health. However, sometimes the healthcare system can be complex and overwhelming, making it difficult to understand and navigate. This is where patient advocates come in.

Patient advocates are professionals who work to protect the rights of patients and help them make informed decisions about their healthcare. In this blog, we’ll explore: what a patient advocate is, what they do, and why it’s important to hire one.

What is a Patient Advocate?

A patient advocate is a trained professional who acts as a liaison between the patient and the healthcare system. They work to help patients navigate the complexities of the healthcare system, including understanding their diagnosis, treatment options, and insurance coverage. Patient advocates are often hired by patients, or their families, to ensure that the patient’s needs are met and their rights are protected.

What Does a Patient Advocate Do?

Patient advocates perform a variety of tasks to help patients and their families navigate the healthcare system. These tasks may include:

  1. Explaining medical terminology and procedures in terms that the patient can understand.
  2. Helping patients understand their diagnosis, treatment options, and insurance coverage.
  3. Facilitating communication between the patient and their healthcare physician.
  4. Advocating for the patient’s rights and preferences.
  5. Providing emotional support and counseling to the patient and their family.
  6. Coordinating care and services among consultants the primary care physician.
  7. Reviewing medical bills and insurance claims for accuracy.

It’s important to note that patient advocates do not provide medical advice or treatment. Rather, they work alongside physicians and hospitals to help patients make informed decisions about their care.

Why Hire a Patient Advocate?

There are several reasons why hiring a patient advocate may be beneficial:

  1. Expertise: Patient advocates are knowledgeable about the healthcare system and can help patients navigate it effectively.
  2. Empowerment: Patient advocates empower patients to make informed decisions about their healthcare and advocate for their rights.
  3. Time-saving: Patient advocates can save patients time by coordinating care and services among multiple physicians and consultants.
  4. Emotional support: Patient advocates provide emotional support to patients and their families during a difficult time.
  5. Cost-effective: Patient advocates can review medical bills and insurance claims for accuracy, potentially saving patients money.

How to Find the Right Patient Advocate?

  1. Ask for referrals: Talk to your physician or other patients who have used a patient advocate. They may be able to provide you with referrals and recommendations.
  2. Check credentials: Ensure that the patient advocate you are considering has appropriate education, training, and certification. Some patient advocates have extensive personal experience in health care such as physicians, nurses, nurse practitioners. While other may have received an education from a patient advocacy program.
  3. Interview multiple advocates: Interview at least three patient advocates to find the one that best fits your needs. Ask about their experience, credentials, and how they charge for their services.
  4. Consider their specialties: Some patient advocates may have specialties in specific health conditions, types of care, or areas of expertise. Consider finding an advocate who specializes in your specific needs.
  5. Evaluate communication skills: Ensure that the patient advocate is an effective communicator and has the ability to explain medical information in a way that you can understand.
  6. Check for conflicts of interest: Ensure that the patient advocate has no conflicts of interest, such as receiving financial incentives from a particular healthcare system or facility.

How Does a Patient Advocate Charge for their service?

Patient advocates may charge for their services in different ways, depending on the nature and complexity of the case, as well as their own preferences and business model. Here are some common ways that patient advocates charge for their services:

  1. Hourly rate: Some patient advocates charge an hourly rate for their time and expertise, similar to other healthcare professionals. The hourly rate can vary widely, depending on the advocate’s experience, location, and the services provided.
  2. Flat fee: Some advocates may charge a flat fee for a specific service, such as helping with insurance claims or medical billing. This fee can be negotiated in advance and is typically based on the estimated time and effort required to complete the task.
  3. Retainer: Some patient advocates may require clients to pay a retainer fee upfront, which is used to cover future services. The retainer fee can vary widely, depending on the advocate’s experience and the complexity of the case.
  4. Percentage of savings: In some cases, patient advocates may charge a percentage of the savings they are able to achieve for their clients, such as negotiating lower medical bills or insurance claims. This arrangement can be beneficial for clients who are struggling with high medical costs.

It’s important to discuss payment options with a patient advocate before hiring them to ensure that you understand their fees and that they align with your budget and needs. Some advocates may offer sliding scales or other payment arrangements to make their services more affordable for clients.

In conclusion, patient advocates are an essential part of the healthcare system. They work to protect the rights of patients and help them navigate the complexities of the healthcare system. By hiring a patient advocate, you can feel more empowered, informed, and supported during a challenging time.

I welcome your thoughts and comments. Please feel free to let me know if you have any questions by posting your comments below. 

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