Buy-and-Bill

Q: What is Buy-and-Bill?

Buy-and-bill is a process where healthcare providers, typically physicians’ offices, directly purchase medications (often biologics or specialty drugs) and then administer them to patients in the clinic. The office is responsible for managing the medication, submitting claims for reimbursement, and handling all the logistics involved.

Q: What is the difference in Buy-and-Bill for In-Office vs. At-Home Patients?

• In-Office Patients:

  • How it works: The medication is delivered to the physician’s office, where it's administered to the patient during their visit.

  • Benefits:

    • Control over the supply chain and drug integrity.

    • Easier insurance billing.

    • Close monitoring of the patient during treatment.

    • Potentially higher revenue and profit margins for the provider.

• At-Home Patients:

  • How it works: The patient receives the medication via a pharmacy, often through mail, and administers it themselves at home.

  • Benefits:

    • More convenience, as patients can receive the treatment at home.

    • Personalization of care, with potentially more flexibility in administration (timing, environment).

    • Potentially less frequent in-office visits.