Expanding Insurance Network Access for an Infusion Provider

Helping a growing infusion company pursue payer network access and serve more patients closer to home.

The Challenge

A multi-location infusion provider was unable to serve certain patients because it was not included in several insurance networks. Although the company had convenient, comfortable treatment locations, patients covered by those plans were being directed elsewhere for care.

This created several problems:

• Patients had to travel farther for treatment.
• Appointments were more difficult to keep.
• The infusion company lost potential patients and revenue.
• Local communities had fewer convenient treatment options.

The Consulting Approach

The Pharmacists Care Team evaluated the provider’s network-access challenges and helped leadership develop a broader payer strategy.

The approach included:

• Identifying priority insurance networks.
• Reviewing the provider’s service capabilities and geographic reach.
• Preparing a stronger business case for network participation.
• Examining opportunities involving employer health plans and self-funded organizations.
• Connecting leadership with relevant healthcare organizations and decision-makers.
• Helping the internal team understand how to communicate the provider’s value.

The Potential Impact

A stronger network strategy can help an infusion company:

• Serve more insured patients.
• Increase treatment volume.
• Expand into new markets.
• Reduce patient travel burdens.
• Improve appointment adherence.
• Strengthen long-term revenue opportunities.

Services Featured

Payer Strategy · Network Access · Executive Consulting · Business Development