Digital Mission

Value-Based Health

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Operationalizing Data and Information Contract and Network Management

Referral Management

Current Situation

Often providers base referrals on historical workflows and preferences, which can result in out-of-network referral practices, inability to timely share patient information, and/or lack of incorporation of patient preferences or provider quality metrics into the decision-making process.

Goals and Objectives

Reduce network leakage
Increase completion rates of referrals
Improve utilization trends
Factor in any patient preferences and quality outcome metrics into referral decision making

Technology Deployed

Referral management software
Analytics supporting referral trends, leakage trends, and other insights
Network analytics
Quality analytics

Use Case Summary

Optimize referral workflows, efficiency, outcome tracking, and trends while taking a data-driven approach that promotes improved referral completion rates, improved patient satisfaction, and improved health outcomes.

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