Natasha’s Story
As a cancer survivor, Natasha Bagchi shares what it was like to navigate treatment, information, and patient support during one of the most difficult periods of her life. Watch Natasha share her story.
Read moreAuthor: Hoot
What Five 2026 Studies Reveal About Patient Engagement
Patient engagement is often treated as a matter of giving patients more information but the 2026 research suggests that information alone is not enough. Patients are more likely to feel engaged when education is clear, relevant, practical, easy to revisit, and connected to a real way to ask for help. The results of the following […]
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SMS Engagement Was Linked to 19% Higher Prescription-Fill Odds
A prescription can be clinically appropriate, sent to the pharmacy, and ready for pickup. The patient can still never fill it. A study published in PLOS Digital Health examined whether personalized SMS reminders could improve medication adherence and reduce hospital readmissions among patients with congestive heart failure. The retrospective study included 1,276 patients, with a […]
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The Patient Adherence Gap: From Clinical Recommendation to At-Home Action
Every day, healthcare practitioners diagnose conditions, explain treatment options, and recommend evidence-based interventions. The clinical plan may be sound. The patient may leave the appointment intending to follow it. Then the patient goes home. Questions surface. Details become harder to remember. A family member raises concerns. A side effect appears. What felt clear inside the […]
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The Comeback Pharma Keeps Missing
A figure presented at ENDO 2026 in Chicago has stayed with me for weeks. In the largest claims analysis of its kind, researchers tracked more than 60,000 adults who started a GLP-1 for type 2 diabetes. By the two-year mark, most had stopped at some point. Here is the part our industry tends to skip […]
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Alliance Orthopedics Bets Big on Physician-Led Patient Education in Practice-Wide Hoot Partnership
When a patient leaves the exam room, the confidence they felt sitting across from their physician often fades by the time they get home. That hesitation is where high-end specialty procedures get postponed, second-guessed, or quietly abandoned. Alliance Orthopedics is doing something about it. The multi-location specialty practice has announced a two-year, practice-wide partnership with […]
Read more40% Abandonment Rate in Specialty Pharma
The Abandonment Rate is Getting Worse. Here’s Why. *By Bob Miglani, CEO of Hoot | Former Pfizer Leader, 23 Years* Watch video clip here: — I spent 23 years at Pfizer watching something that should have been unacceptable become normalized. A drug gets approved. Clinical trials prove it works. Physicians prescribe it. And then somewhere […]
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The 72-Hour Gap: Why Prescriptions Get Written but Medications Go Unfilled
Three new research signals reveal a widening chasm between prescription intent and patient action, and point toward what actually closes it. Every day, physicians write prescriptions that patients never fill. Some never even pick them up. Others start, stop, and disappear from therapy within 90 days. The clinical encounter works. The commercial infrastructure behind it […]
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Why Patient Education Is Becoming the Most Important Part of Dry Eye Care
The Communication Gap in Dry Eye Care Dry eye disease continues to grow as one of the most common and frustrating conditions seen in eye care practices today. At the same time, many providers still face the same challenge: patients often do not fully understand the severity of their condition or why treatment matters. For […]
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The $356 Billion Margin Trap Is Reshaping Patient Persistence
Gross-to-net pressure has become one of the defining commercial realities in specialty pharma. According to Hoot’s latest executive briefing, manufacturers gave back an estimated $356 billion in rebates, government discounts, 340B obligations, and chargebacks before net revenue was ever recognized. That number alone changes how commercial leaders think about growth. The challenge is no longer […]
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