STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC …€¦ · STREAMLINING THE REFERRAL PROCESS FOR...

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specialists lose revenue they never knew about outcomes suer (24M missed visits/year) payers unable to manage costs specialist gets HIPAA-secure clinical, demographic info referring doctor gets consult reports, sees outcome payers can direct care for higher quality/lowest cost manual phone/ fax sharing specialist oce primary 45% 66% get no info about the referral docs get no info about the consult primary WE CLOSE THE LOOP payer specialist oce doctor makes a referral research; has insurance and frustrated 34% 73% doctor makes a referral specialist appointment is scheduled confirmed appointment with info and text reminders more than doubles * CURRENT WAY WAY PATIENT GETS fewer non-covered charges STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC RESULTS SPECIALIST GETS more visits (via compliance) HOSPITAL / NETWORK GETS reduced out-of-network leakage control over outcomes, costs, PCP GETS streamlined referral process transparency to results PAYER GETS control over outcomes, costs Expensive · · The Right Doctor, Right Away · Compliance · Data Sharing Across EMRs

Transcript of STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC …€¦ · STREAMLINING THE REFERRAL PROCESS FOR...

Page 1: STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC …€¦ · STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC RESULTS SPECIALIST GETS more visits (via compliance) HOSPITAL / NETWORK GETS

specialists lose revenue they never

knew aboutoutcomes su�er

(24M missed visits/year)

payers unable to manage costs

specialist gets HIPAA-secure clinical,

demographic info

referring doctor gets consult reports, sees outcome

payers can direct care for higher

quality/lowest cost

manual phone/fax sharing

specialisto�ce

primary

45% 66%get no info about the referral

docs get no info about the consult

primary

WE CLOSETHE LOOP

payer

specialisto�ce

doctor makes a referral

research; has insurance and

frustrated

34% 73%

doctor makes a referral

specialist appointment is scheduled

confirmed appointment with info and text reminders

more than doubles*

CURRENT WAY WAY

PATIENT GETS

fewer non-covered charges

STREAMLINING THE REFERRAL PROCESS FOR DRAMATIC RESULTS

SPECIALIST GETSmore visits (via compliance)

HOSPITAL / NETWORK GETSreduced out-of-network leakage

control over outcomes, costs,

PCP GETSstreamlined referral process

transparency to results

PAYER GETScontrol over outcomes, costs

Expensive · · The Right Doctor, Right Away ·Compliance · Data Sharing Across EMRs