Network leakage is a significant challenge for health care systems, impacting both patient care continuity and financial stability. When patients seek care outside their designated network, it disrupts service delivery and results in substantial revenue loss. Addressing this issue is critical for health systems to deliver high-quality care and ensure the financial health of the organization.
Outsourcing to a centralized transfer center is an effective strategy to mitigate network leakage and streamline patient transfers within the network.
Consequences of Network Leakage
Network leakage occurs when patients leave their health care network for services available within the system. This often happens due to patients being directed to out-of-network specialists, hospitals, or other care facilities. The financial impact is considerable, with millions of dollars in potential revenue lost annually, particularly for large health systems. Recapturing these patients is both costly and challenging, requiring extensive marketing and outreach efforts, often with limited success. Furthermore, leakage leads to underutilization of in-network facilities and providers, resulting in inefficiencies and increased per-unit care costs.
Benefits of Outsourcing a Transfer Center
Busy providers seek hospitals and systems that respond quickly to transfer requests. Outsourcing a transfer center offers a centralized and efficient process for managing patient transfers that can help reduce network leakage. A dedicated transfer center serves as a single point of contact for physicians and clinicians needing to transfer patients, ensuring that patients are more likely to stay within the network. This centralized approach streamlines communication, facilitating quick and efficient transfers that prevent delays in care and offer timely treatment within the network.
In addition, an outsourced transfer center provides comprehensive data on the transfer process. Many health systems struggle with identifying and quantifying transfer problems and opportunities. A centralized transfer center offers valuable insights into why patients are being transferred out, which services are lacking, and where there are gaps in care. This data provides visibility and transparency to the transfer process and helps strategic leaders make informed decisions about service expansions and enhancements.
Reduce Network Leakage by Partnering with Conduit
Conduit Health Partners has facilitated over 433,000 transfers for health systems nationwide managing the full patient transfer process, including identifying a location based on provider preference and patient need, gaining acceptance and coordinating transportation.
Conduit’s detailed analytics and reporting on transfer activities enable health system leaders to track patterns and understand the root causes of transfers, facilitating strategic decision-making. Insights from transfer data can also help identify which services need to be expanded or introduced, building a more comprehensive and attractive network for patients and directing physicians.
As an extension of a health system’s team, Conduit’s transfer center service can help organizations achieve better operational efficiency, improve patient retention, and bolster their financial stability.