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 nearly 5 million lives have managed more than 175,000 care transitions with ReferWell.
Proven to Change Patient and Provider Behavior
Appointments scheduled at the point of care
Increase in patient follow through with referral appointments
Increase in care gaps closed
Decrease in network leakage
Increase in specialists closing the loop
Increase in network visibility
Why Care Transitions are Important
Half of all ordered care transitions don’t result in a visit, leading to $150 billion of unnecessary spend annually.
Medicare Advantage plans are missing more than $1,000 in revenue per member who has not received an annual Health Risk Assessment and been appropriately coded.
Health plans report that 5–30% of members haven’t received one or more of their preventive care visits each year, negatively impacting their revenue and hurting patient care outcomes.
The use of telehealth visits has increased exponentially since the onset of the pandemic and is expected to remain at historically high levels as both patients and providers become accustomed to it.
FQHCs currently only capture a fraction of the 340B program savings available from specialist prescriptions, leaving a precious source of funding underutilized.
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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