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Patients are responsible for nearly one-quarter of their medical bills, according to findings from the American Medical Association’s sixth annual report on health insurers and their patterns for processing and paying medical claims.

For the first time, the AMA’s National Health Insurer Report Card examined the portion of health care expenses that patients were responsible for through copays, deductibles, and coinsurance. During February and March of this year, patients paid an average 23.6 percent of the amount that health insurers set for paying physicians, according to the report.

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