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 have managed 161,350 care transitions with ReferWell.
ACO / CIN / At-Risk Networks
Control patient leakage and utilization across the network and multiple EMRs.
FQHC / 340B Covered Entities
Improve care coordination and 340B referral capture.
Increase revenue and member satisfaction and close more care gaps through superior care coordination.
Hospitals & Health Systems
Control patient leakage and increase revenue and ratings by guiding the patient journey.
Increase in rate of point of care appointment booking
Increase in care gaps closed
Increase in rate of specialists closing the loop
Increase in patients staying in network
Increase in network visibility
Why Virtually Integrated Networks 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.
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 DirectTrust, HL7, FHIR and more.
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