Infusion therapies have become one of the fastest growing segments in pharmacy spending, now representing nearly 20% of prescription drug spend in the United States. As health systems expand infusion services, many are asking the same questions: What is our total infusion opportunity and how much is leaving our hospital network?
The challenge is that many organizations lack visibility into infusion orders written by their own providers. Patients are routinely referred to outside infusion providers creating a fragmented care experience for patients and lost revenue for the health system. Quantifying this opportunity is difficult because the data is not captured in structured data domains.
Why Infusion Leakage Matters
May factors are driving the shift from hospital based infusion centers to alternative sites of care. Most notably are payers that are driving this shift due to observed differences in drug spend when infusions are performed at standalone infusion clinics/suites or at the home. Additionally many patients have a preference for receiving care at home. As a result, alternative site of care settings are expected to double the growth rate of hospital based infusion centers over the next 5 years.
When infusion patients leave the system, the impact goes beyond missed revenue. Health systems may also lose opportunities to:
- Improve treatment outcomes
- Identify intervention opportunities
- Coordinate care across providers
- Support adherence and monitoring
A More Complete View of Infusion Performance
Health systems are increasingly looking for ways to connect order, dispensing, administration, and billing data to better understand:
- Which therapies have the highest leakage rates
- Which payers or sites of care are driving order leakage
- Which providers are sending referrals to external infusion centers
- What are the differences in reimbursement rates by sites of care
- What investments should be made for hospitals to compete in this current landscape
This level of visibility helps organizations move beyond retrospective reporting toward more proactive infusion growth strategies.
Supporting Smarter Infusion Growth
Loopback Health’s Infusion Capture product helps health systems identify infusion orders that are not documented in structured domains, quantify revenue opportunity, and better understand their infusion market potential.
With actionable insight into orders written, infusions completed, and revenue realized, health systems can collaborate with providers, clinics and patients to advance their infusion strategy.
Reach out here to inquire about our infusion solution.
