Patient Keepage
The share of patients who remain within a health system or network for their care rather than seeking services elsewhere. The inverse of leakage, keepage measures a system's ability to retain referrals and procedure volume, directly affecting captured revenue.
What is patient keepage?
Patient keepage is the share of patients who stay within a given health system or network for their care instead of going elsewhere. It is the positive counterpart to leakage, measuring retention rather than loss.
Keepage captures how effectively a system holds onto the referrals and procedures it could perform internally. A higher keepage rate means more of a system's patients are receiving care within its own walls.
Why does patient keepage matter commercially?
Because keepage reflects retained referrals and procedure volume, it ties directly to the revenue a system actually captures. Patients who stay in network represent care, and the associated payment, that the organization keeps rather than forfeits.
Tracking keepage helps leaders understand whether their referral relationships and service lines are strong enough to retain patients. For systems that include ambulatory surgery centers, keeping surgical cases in network is a meaningful component of captured revenue.
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