The shift to consumer-centered healthcare likely comes from rising patient financial responsibility. Patient healthcare costs – including both deductibles and out-of-pocket maximum payments – have increased by 29.4 percent since 2015, the report showed.

The average deductible is $1,820 and the average out-of-pocket maximum cost is $4,400, Black Book reported.

Providers likewise are reporting troubles in the wake of increased patient financial responsibility. When patients owe more for their healthcare, it becomes more difficult for patients to afford their care. This leaves providers vulnerable to missed patient payments, a major revenue cycle challenge.