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Patient Leakage & Keepage: State of the Industry Report

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October 23, 2020

Highlights on this story:
  • “The Patient Keepage & Leakage Report” offers an in-depth, state of the industry look at health system executives’ views on the challenge of patient leakage, in which patients seek care beyond their networks. Although 96% of health system execs surveyed said that addressing patient leakage is a top priority, very little research had been done on this topic—until now.
  • The report, conducted by an independent market research firm, includes responses from a random sample of 138 senior health system and hospital executives (80% C-suite) responsible for patient care, hospital administration, finance, or operations.

Nearly all (96%) of healthcare executives say patient leakage is a priority this year, but only 31% of leaders who have a plan to keep patients within their health system networks believe they have the right tools to accomplish their goals, according to survey results released today from Central Logic, the industry innovator in enterprise visibility and tools to accelerate access to care.

Central Logic commissioned an independent market research firm to conduct a survey about patient leakage and care access, with respondents consisting of a random sample of 138 double-verified senior health system and hospital executives responsible for patient care, hospital administration, finance or operations. The challenge of patient leakage—in which patients seek care beyond their network—has taken on greater importance during COVID-19, as hospitals’ and health systems’ operating margins have dropped precipitously. While CARES Act funding has offered some financial relief, these organizations are expected to lose more than $323 billion in 2020 due in large part to restrictions on elective procedures and patients canceling or deferring care.


“The Patient Keepage & Leakage Report, based on the results of our survey, highlights a crisis of confidence among healthcare executives that started even before COVID-19,” said Angie Franks, CEO of Central Logic. “The pandemic has exacerbated this crisis, but attracting, retaining and repatriating patients back into health system networks is now an incredibly important financial priority for health system leaders, given the massive financial losses they have suffered.”

In the Patient Leakage & Keepage Report, 80% of executives said value-based care models have made addressing patient leakage more important, but more than 38% either were unconfident or didn’t know if their organization had visibility into leakage.

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Of the survey respondents, 80% were C-level executives, and two-thirds represented hospital networks with 251 or more beds—of those, more than 20% represented networks of 1,500 beds or more.

Other highlights of the Patient Leakage & Keepage Report include:

– 75% said patient leakage is a significant obstacle to their financial goals

– Only 31% of the healthcare systems who definitely have a strategy to reduce patient leakage said they have the right tools to get it done

– Organizations that don’t use technology to quantify patient leakage were less likely to know which service lines were most affected by loss of patients

Source: HIT Consultant

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