Payments, SMB Finance

SMBs are increasingly opting for real-time payments, leaving credit cards behind as their preferred choice

  • Healthcare SMBs are increasingly turning to RTP payments for A2A transfers, surpassing credit cards and checks in usage over the past year.
  • As healthcare provider businesses increasingly integrate instant payments, two notable factors stand out that shape the adoption and usage of real-time payment rails across this sector.
close

Email a Friend

SMBs are increasingly opting for real-time payments, leaving credit cards behind as their preferred choice

The RTP payments network reached a milestone by processing over 1 million payments in a single day on September 1, 2023. EWA and gig worker payments emerged as the network’s primary drivers, surpassing account-to-account (A2A) transfers.

However, in the healthcare sector, small and medium-sized businesses (SMB) have increasingly turned to RTP payments for A2A transfers, showing a surge compared to credit cards and checks over the past year, according to a new report by PYMNTS.

Real-time payments are the preferred choice for 83% of SMB healthcare providers, outshining any individual payment method in terms of usage. 38% of healthcare provider SMBs identified a real-time payment method as their primary payment rail with instant bank account-to-account payments topping the list at 15%, closely followed by instant PayPal at 13%.

As healthcare provider businesses increasingly integrate instant payments, the report highlights two primary factors that influence the adoption and usage of real-time payment rails across this sector.

National and Regional banks are the preferred choice for real-time payment rails: Healthcare provider SMBs exhibit a greater propensity to adopt a real-time payment system as their primary payment method when they are affiliated with a national or regional bank, rather than a local bank or credit union (CU).


subscription wall for TS Pro

0 comments on “SMBs are increasingly opting for real-time payments, leaving credit cards behind as their preferred choice”

Banking, SMB Finance

Inside Bank of America’s plan to own the small business relationship

  • Bank of America is building tools that address tariffs, cashflow gaps, and employee retention simultaneously.
  • The bank is betting integration beats specialization as digital competitors chase individual pain points.
Rabab Ahsan | January 27, 2026
5 questions, Awards, Banking, SMB Finance

Simplifying small business finances: Inside U.S. Bank’s award-winning approach

  • U.S. Bank was recognized as 'Best Bank for SMBs' at this year’s Tearsheet SMB Finance Awards.
  • Kristen Link, SVP and Product Lead for Business Customer Journeys and Delivery at U.S. Bank, explains how the super-regional bank supports SMBs across cash flow, payments, and daily operations.
Sara Khairi | December 18, 2025
Business of Fintech, Member Exclusive, SMB Finance

Putting small businesses first: AI, trust, and the human side of finance

  • At this year’s Money 20/20, conversations went beyond payments and embedded finance to how technology can truly support America’s smallest businesses.
  • Two fintechs shone in the discussion: Hello Alice, which aims to make capital more accessible, and Bluevine, a banking platform tailored for SMBs and sole proprietors. Different strategies, same focus -- putting SMB owners first.
Sara Khairi | November 20, 2025
Banking, SMB Finance

Relationship banking is the secret sauce to successfully banking SMB customers

  • SMB owners face isolation, tool proliferation, and vulnerability to economic shifts, managing every business function while lacking revenue cushions for uncertainty.
  • KeyBank's Certified Cash Flow Advisor Program is evolving banking relationships from transactional to consultative, with certified advisors providing ongoing guidance through "Key Conversations".
Rabab Ahsan | November 04, 2025
Partner, SMB Finance

How Lendflow is helping embedded lenders reduce system fragmentation and gain an edge in AI

  • Lenders juggle multiple data vendors, wrestle with disconnected point solutions, and these tools lack the ability to paint a full picture of the SMB customer and their needs.
  • Listen to this podcast to learn how Lendflow is helping lenders break out of the fragmentation quagmire and access a full agentic AI toolbox that helps re-engage borrowers, as well as improve efficiencies for internal processes. 
Rabab Ahsan | October 23, 2025
More Articles