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Wound Care Articles and Insights
January 27, 2026

Fragmented Wound Care Is Bleeding Millions Annually from Hospital Networks

Mike Comer

Most hospital networks have no idea how their wound centers actually perform—because no one's managing them as a system.

One center runs under a management company charging per-patient fees whether you collect or not, using equipment paid off a decade ago and staff you don't control. Another is run part-time by a company that keeps collections and charges you on top. A third you brought in-house two years ago and hoped for the best. Different policies. Different documentation. Different definitions of success. You can't compare them, benchmark them, or get a straight answer on which ones make money.

Meanwhile, compliance risks pile up—different LCD interpretations, inconsistent skin substitute documentation, audit exposure you won't see until it arrives.

This is what fragmentation costs: millions in lost revenue, uncontrolled risk, and wound centers that underperform while leadership flies blind.

WCA exists to end that chaos.

We're the only wound care partner built exclusively for hospital networks. No physician offices. No mobile wound care. No divided loyalties. One focus: every wound center in your system under one standard, one platform, complete transparency—so you finally control what you own.

The Problem: Fragmentation Is Bleeding You Dry

Hospital networks inherit wound center chaos. Mergers, acquisitions, and outdated contracts leave you with a patchwork of management companies, operational models, and reporting systems that don't talk to each other. This is your Wound Care Inheritance.

What fragmentation looks like:

  • Three centers, three management companies, three sets of metrics that can't be compared
  • Documentation standards that vary by site—compliance gaps no one catches until an audit
  • No network-wide visibility into volume, outcomes, or revenue
  • Centers operating as islands while leadership decides in the dark
  • Contracts that lock you in while results drift downward

Every management company optimizes for their center, their contract, their renewal. Nobody optimizes for your network.

That's the problem. It's costing you millions you can't even measure.

The Solution: One Partner. One Standard. Every Center.

WCA delivers what fragmented vendors can't: Teams, Tools, and Transparency across your entire wound care operation.

Teams — Expert coaches connecting with your staff daily. Not consultants who visit annually. Not reports that arrive after problems become crises. Daily engagement that builds capability and catches issues in real time.

Tools — Our Luvo platform gives network leadership one real-time view of every wound center. Same metrics. Same benchmarks. Same dashboard. Marketing, financial tracking, compliance support, and employee education—all connected to your hospital systems.

Transparency — No black boxes. No data you can't access. You see what we see—because these are your centers.

When one center finds what works, every center benefits immediately. When a problem emerges anywhere, leadership knows first—not last.

How We Fix Underperforming Centers: The VOICE Framework

VOICE focuses on five performance levers, where every intervention targets at least one, ensuring progress is intentional and measureable: 

Volume — Referrals leaking? We find the gaps and close them. Your wound center should be the first call, not the last resort.

Outcomes — Healing rates slipping? We identify clinical gaps, standardize protocols, and get results back on track.

Income — Profitability eroding? We restore revenue integrity—clean documentation, optimized coding, defensible billing.

Compliance — Audit exposure growing? We address risks before the letter arrives. LCD requirements, skin substitute documentation, medical necessity—locked down across every site.

Engagement — Staff burned out? We rebuild morale from the inside. Engaged teams deliver better care and stay longer.

This isn't theory. It's the operational discipline that keeps wound centers open and health systems protected.

Why 2026 Demands a Different Approach

The pressure is accelerating. CMS is tightening enforcement after Medicare skin substitute spending exploded from $256 million in 2019 to over $10 billion in 2024. Coverage restrictions are reshaping reimbursement. OIG investigations are expanding. Management contracts face increasing scrutiny.

Health systems that operate wound centers in-house—with the right support—will outperform those locked into fragmented outsourced models.

The networks that win in 2026 will be the ones that took control: one standard, one partner, full visibility, zero excuses.

Partner With WCA

Twenty-four years building the only wound care model designed exclusively for hospital networks. No conflicts. No divided attention. Your wound centers, performing at the highest level, under your control.

Ready to stop the bleeding?

Join the Wound Care Compliance Club for regulatory updates. Or connect with us directly to see what network-wide optimization looks like.

Contact WCA.

Wound Care Advantage has supported hospital-based wound centers nationwide since 2002. Daily coaching, proprietary analytics through Luvo, and operational expertise that delivers clinical excellence, financial sustainability, and full compliance.

We Support
Wound Centers.

It's just that simple.