The home infusion therapy sector is experiencing significant growth, driven by an aging population and a preference for in-home care. However, this expansion brings forth several challenges and controversies that warrant attention.
Safety Concerns and Training Deficiencies
A study from Johns Hopkins University highlights a critical issue: many home care staff lack proper training to identify and manage potential infections associated with intravenous (IV) treatments. The absence of standardized protocols for training nurses, caregivers, and patients increases the risk of IV-related infections. Dr. Sara Keller, an assistant professor of infectious disease at Johns Hopkins, emphasizes the need for comprehensive training programs to ensure patient safety.
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Industry Challenges and Financial Pressures
Despite the rising demand for home infusion services, the industry faces financial hurdles. CVS Health recently announced plans to discontinue certain infusion services and close or sell 29 pharmacies, citing industry headwinds as a primary factor. This move underscores the financial challenges and evolving landscape of the home infusion sector.
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Advocacy for Improved Access and Reimbursement
In response to these challenges, over 35 patient and stakeholder groups are urging Congress to address Medicare beneficiary access to home infusion services. They advocate for the advancement of the Preserving Patient Access to Home Infusion Act (S. 1976/H.R. 4104), which aims to include pharmacy services as part of the home infusion therapy benefit under Medicare. This legislation seeks to enhance access and ensure comprehensive coverage for patients requiring home infusion therapies.
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Conclusion
While home infusion therapy offers numerous benefits, including patient comfort and reduced hospital stays, it also presents challenges related to safety, training, financial viability, and regulatory support. Addressing these issues is crucial for the continued growth and effectiveness of home infusion services.
By staying informed and advocating for necessary changes, healthcare providers, policymakers, and stakeholders can work together to overcome these challenges and ensure the safe and effective delivery of home infusion therapies.