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The Secret to Higher ARPOB? Smarter Case Mix Strategies. Case Study on how our funnel strategy can help Hospitals

  • Writer: Manas Tripathi
    Manas Tripathi
  • Sep 6
  • 2 min read
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From Beds to Business: Rethinking Hospital Growth

Every hospital leader has faced the same question: “We are filling our beds, but are we really making money?” Occupancy alone doesn’t guarantee financial success. The real game-changer is optimizing the case mix and improving Average Revenue Per Occupied Bed per Day (ARPOB).

Recently, we worked with a hospital that was struggling with precisely this challenge. Their beds were occupied, but the revenue per bed wasn’t reflecting the true potential of their infrastructure, specialties, and brand equity.

The Case Mix Challenge

Hospitals often attract a narrow set of cases—say, routine deliveries or general pediatric OPD—which, while important, don’t leverage the hospital’s full range of capabilities. Without a balanced case mix (covering higher-value specialties like surgeries, IVF, advanced pediatrics, or oncology), ARPOB remains stagnant.

This imbalance leads to three common issues:


  • Over-reliance on low-margin procedures

  • Under-utilization of high-capex departments

  • Missed opportunities to project brand strength in specialized areas


The Micro-Market Funnel Strategy

Instead of relying on broad marketing, we deployed a funneling strategy focused on the hospital’s immediate micro-markets—targeting doctors, clinics, pharmacies, and referral sources within a defined geography.

How it worked:


  1. Ground Mapping – Every referring doctor in the micro-market was identified and segmented by specialty, influence, and potential.

  2. Targeted Engagement – Our outreach didn’t stop at a single visit. Each doctor was engaged multiple times, with a structured introduction to hospital services across women’s health, pediatrics, surgeries, and preventive care.

  3. Service-Wise Referrals – Instead of a blanket “refer to us” approach, we guided doctors toward specific service lines—like birthing, surgery, IVF, and health checks—aligned with the hospital’s growth strategy.

  4. Active Tracking – Referrals were monitored stage by stage, giving management a clear view of conversion, ARPOB impact, and even the effectiveness of field managers.


The Results: Case Mix Transformation & ARPOB Growth

Within a few months, the hospital saw:


  • shift in case mix with higher representation of surgical and advanced care admissions.

  • ARPOB uplift as more complex, higher-margin cases entered the system.

  • Stronger doctor engagement and referral loyalty, creating a repeatable funnel.


This wasn’t about “adding beds.” It was about making every bed count more.


  • Awareness builds visibility & recall.

  • Participation brings in initial medical/low-value cases.

  • Engagement channels referrals into higher-value services.

  • Leads to Improved Case Mix (surgical, IVF, advanced pediatrics).

  • Culminates in Higher ARPOB (greater revenue realization per bed).


Why This Matters for Hospitals Today

In a market where competition is increasing and patients are more informed than ever, sustainable growth lies not just in patient volume, but in patient value.

Hospitals that systematically improve case mix and ARPOB can:


  • Strengthen financial resilience

  • Better utilize capex-heavy departments (OT, ICU, IVF labs)

  • Position themselves as leaders in specialized care


Closing Note

Every micro-market hides untapped potential. By approaching it with discipline, data, and structured engagement, hospitals can unlock far more than occupancy—they can unlock profitability and long-term growth.


“At Synapse Healthcare Consultants, we’ve developed an implementable micro-market funnel tool that empowers hospitals to shift case mix, strengthen referrals, and unlock higher revenue realization per bed.”



 
 
 

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