💳 Payors & Risk

5 / 515 min

💳Module 4 · Slide 14

Commercial Insurance — The Bread and Butter

Commercial insurance offers the best reimbursement and is a major growth opportunity for us. These plans typically use a per diem model — a daily bundled rate covering pharmacy, supplies, and equipment, with drug and nursing billed separately on top.

Commercial Insurance Highlights

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Best Reimbursement

Per diem model with separate drug and nursing billing — highest revenue per case

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Site-of-Care Push

Commercial payors are aggressively denying hospital outpatient infusions and redirecting to home or AIC

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High-Deductible Plans

Can create patient cost challenges — our team works to find financial assistance programs

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Authorization Required

Prior auth is almost always required — but we own that process so referral sources don't have to