Close Care Gaps 3x Faster
Care navigation services and scheduling technology improve quality performance for your health plan.
Struggling to get beneficiaries to preventive screenings? See how a Blues plan engaged ReferWell’s care navigators to call Medicare Advantage members and schedule care gap appointments, impacting 10x more care gaps than the plan requested in just the first month.
Download the case study to see how the plan did it.
Care Gap Closure Solution
ReferWell’s care gap closure solution lets health plans close care gaps for targeted member populations. ReferWell’s care navigation team efficiently handles your member outreach and uses ReferWell’s digital health technology to schedule preventive care, such as mammograms and colonoscopies, send at-home colon cancer screening kits and annual wellness visits with a primary care physician.
Your Highest Value Care Gaps Closed
Colorectal Cancer Screenings
Diabetic Retinopathies
Mammograms
Annual Wellness Visits
Prenatal Care Visits
How it Works
Care navigators find the right providers(s) and schedule preventive care appointments for members at the referable moment.
Members receive email and text reminders and are more likely to follow through with their preventive care screenings.
Share clinical data between providers via a HIPAA-secure conduit, across all EMRs, ensuring the PCP is in the loop and the plan is informed of the visit status.
Care navigators can be employed by the plan, if preferred.
Increase Your Revenue
Increase revenues by improving HEDIS measures and Star ratings.
Reduce costs by increasing preventive screenings, saving downstream spend.
Improve revenue by improving efficiency and efficacy of outreach programs.
Benefits of ReferWell’s Care Gap Closure Solution
Increase CMS Reimbursements
Close more care gaps, improving HEDIS scores and increase member satisfaction for higher Star ratings.
Augment Internal Care Coordinators
ReferWell care coordinators offer a flexible staffing option; they can be deployed to augment your existing staff when needed.
Improve Preventive Care Compliance
Patient show rate dramatically increases when the appointment is booked ‘right then and there’ with an in-network doctor, at a convenient location and time.
Track and Resolve Patient Data
ReferWell helps capture the relevant appointment data for prior preventive care so the PCP can keep their patient records up to date.
Expert Care Navigators to Call Members and Schedule Care Gap Appointments
ReferWell care navigators are your call center staff to engage members and schedule care gap appointments. Multi-lingual and experienced in patient-facing clinical settings, they are experts in educating members on the value of preventive care and addressing barriers members may face in seeking care. With flexible night and weekend schedules and carefully crafted scripts, care navigators have a track record of increasing member reach and impact rates.
