What Types of Care Transitions?

The Centers for Medicare & Medicaid Services defines a care transition as the movement of a patient from one setting of care to another. At ReferWell, we focus on all care transitions between providers, whether that care occurs in an ambulatory care setting, post-discharge or ED/Urgent Care.

We help networks virtually integrate so they can manage all care transitions across the patient journey with a focus on the factors that make these transitions successful – scheduling appointments efficiently, increasing show rate and seamlessly sharing clinical data regardless of EMR. Our Virtually Integrated Networks empower you to direct patients toward the highest-quality providers, increase patient compliance, reduce patient leakage and close more care gaps.

Who Uses ReferWell?

Payers and provider networks covering more than 5 million lives have managed 200,000 care transitions with ReferWell.

Health Plans

Improve Medicare Advantage and Medicaid member experience and care gap closure for quality improvement.

Accountable Care

Improve network adequacy across disparate EMRs while reducing costly transitions and eliminating leakage.

Health Centers

Improve access to care and identify new 340B revenue to support care for the community.

Health Systems

Strengthen relationships with community providers, direct care to the right hospital specialists and reduce revenue leakage.

Proven to Change Patient and Provider Behavior


Appointments scheduled at the point of care

Referral appointment


Increase in patient follow through with referral appointments


Increase in care gaps closed


Decrease in network leakage


Increase in specialists closing the loop

Network visibility


Increase in network visibility

Why Care Transitions are Important

Interoperability: ReferWell Makes it Easy

ReferWell is fully HIPAA compliant and integrates with all of the major EMRs and scheduling platforms in order to facilitate the sharing of clinical data between providers to improve the coordination of care — all while wasting less time on the phone and fax. ReferWell supports all integration protocols including Direct, HL7, FHIR and more.

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Contact Us

68 Southfield Ave, Suite 180
Stamford, CT 06902
(800) 970-5875