Health Systems Lose $3.1 Billion in Physical Therapy Revenue in 2022 National Study
Health systems lose an estimated $3.1 billion revenue from physical therapy referral leakage across the 3.9 million commercially insured patients studied in a new report by Luna, the leading provider of in-home, in-person physical therapy.
In the report based on 2022 national data, 60% of patients referred to physical therapy by their health system opted for a local clinic provider, equating to a loss of $2,000-$3,000 per patient.
Patient preference plays a significant role in referral leakage as many choose to seek care elsewhere based on convenience and geographic reach. For instance, many patients are unwilling to travel more than 2-3 miles to receive healthcare. The limited service availability within health systems also forces some patients to seek more accessible providers closer to their home.
With over 38,000 clinics nationwide, patients have ample choice when it comes to physical therapy. This superior geographic coverage can serve patients closer to where they live, which creates significant competitive cannibalization on health systems.
“Referral leakage is deeply worrying for health systems, and investing in costly additional locations is not the answer. Health systems need to find creative, innovative solutions to survive, post-pandemic. Offering outpatient physical therapy direct to a patient’s home is a truly advantageous strategy. It expands patient access and geographic coverage, enhances patient satisfaction, and standardizes patient care,” said Palak Shah, co-founder and head of clinical services at Luna.
Leading health systems such as Providence, Emory Healthcare, Intermountain Healthcare, UCLA Health and Scripps Health have partnered with Luna to offer outpatient physical therapy in the convenience of a patient’s home.
Luna currently operates across 48 markets in 27 states and has treated almost 40,000 patients in their homes. Unlike remote or virtual care, Luna’s licensed physical therapists provide 1:1 hands-on care in the convenience of the patient’s home.
In 2022, Luna became the fastest growing physical therapy clinic nationally with 6,183 percent growth in visits during the four consecutive years since it was founded in 2018. This is higher than any reported growth during the same time frame from any physical therapy clinic group.
Luna has maintained its approach to high-quality care during this record period of growth with a three year running world-class NPS rating, specifically 87 in 2022. According to a recent McKinsey report, up to $265 billion worth of care services, representing up to 25 percent of the total cost of care, is expected to shift to the home by 2025.