From a financial and profitability perspective, all patients are not equal. The two primary drivers of profitability in a home infusion business are therapy and payer. In order to manage your business to drive profitability, you must understand which payer / therapy combinations are “good” business and which ones are not.
As a general rule there will be 6-8 focus therapies that if you do well with those, you’ll do well as a company. These are therapies like TPN, IVIG, etc. These may be unique to your specific business focus. There are other therapies like hydration and catheter care that you will do but are supplemental to the focus therapies.
Not to mention any names, there are some payers that are typically good and others that pay poorly and late in almost all cases. However, there are many cases where a specific payer / therapy combination is an exception to the quality of the payer. Often, for example, providers dismiss Medicaid as a poor payer. This is not always the case. There may be therapies that your state Medicaid payer recognizes for the value they provide and will pay for them comparable to private insurance.

Rock-Pond Solutions wrote a custom report for a large provider who had identified their focus therapies and wanted to provide their sales team with feedback regarding the quality of the business their referral sources were referring to the company. Instead of Good / Bad business, they opted for Good Revenue and Low Revenue as the two categories. The report has the option to run based for new patients (patients where the start of care date and dates of service are in the same month) or all patients. Providing this feedback to the sales team on a weekly basis gave them immediate feedback on the value of the referrals they were receiving from the physicians and referral sources they were meeting with. In turn they were able to direct their sales and marketing efforts to drive more Good Revenue in to the business.
Not only did the sales team improve, but the profitability of the business overall improved significantly. Simply focusing on key therapies, payers who paid poorly on these key therapies and the source of these referrals was the start. Providing this information to the sales and clinical team so everyone knew the difference between Good Revenue and Low Revenue was the key to improving profitability.











Find out what Rock-Pond Solutions can do for your organization. Click on the link below, or call 501-450-6446, and one of our representatives will follow up with you to schedule a demo of our reporting solutions.