Pharmacy closures by two of the biggest home infusion companies point to grave shortages and dangers for patients who require IV nutrition to survive.
February 07, 2023
The day after CVS' move, another big supplier, Optum Rx, announced its own consolidation. Suddenly, thousands would be without their highly complex, shortage-plagued, essential drugs and nutrients. Home and outpatient infusions are a growing business in the United States, as new drugs for chronic illness enable patients, health care providers, and insurers to bypass in-person treatment. Even the wellness industry is cashing in, with spa storefronts and home hydration services.
In the 2010s, CVS bought Coram, and Optum bought up smaller home infusion companies, both with the hope that consolidation and scale would offer more negotiating power with insurers and manufacturers, leading to a more stable market. But the level of patient care required was too high for them to make money, industry officials said.
DeAngelis said CVS worked with its HPN patients to"seamlessly transition their care" to new companies. Many patients who were hospitalized at the time of the switch — several inpatient stays a year are not unusual for HPN patients — had to remain in the hospital until they could find new suppliers. Such hospitalizations typically cost "The biggest problem was getting people out of the hospital until other companies had ramped up," said Dr. David Seres, a professor of medicine at the Institute of Human Nutrition at Columbia University Medical Center.
Smith shares a postage-stamp Queens apartment with her husband, Matt; his enormous flight simulator ; cabinets and fridges full of medical supplies; and two large, friendly dogs, Caspian and Gretl.
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