Inbox Health Labs examined nearly two years of data on patient payment activity to test the assumption that adopting a digital-first or digital-native payment system might be intimidating or alienating to their older patients while providing only limited benefit to their younger client base. The data from our analysis reveal that these fears are at best out of date, and at worst entirely out of touch with the way patients are engaging when given the choice. Billers may want to consider whether, if they don’t adopt digital technology to keep up with the times, then patients may rapidly outpace them in terms of the level and ease of digital communication they will be expecting.