Whatever health care services you provide, you have probably felt the pinch of tightened reimbursements—perhaps 30 percent to 40 percent less, or more, than what you received in the past. These lowered reimbursement rates mean that consumers are being required to play a larger financial role in their health care. In fact, a recent survey indicates that the number of consumers with high-deductible plans has risen dramatically in the last few years, with the average deductible at $1,046 in 2014. As a result, your health care operation’s bottom line is dependent on patients paying their share. Here are some suggestions for collecting the cash up front and over the long term.