ReferWell Delivers ROI in ACA Market

ACA Risk Adjustment Program Captures $1.5M in Net New HCCs

ReferWell helped this health plan schedule it’s members for Annual Wellness Visits (AWVs) delivering a 139% ROI in their toughest market.

With 93% market share of the ACA market (over 450,000), this health plan needs every HCC they can get to minimize transfer payments. They felt there was an opportunity to improve access and ensure members were properly coded by scheduling them for Annual Wellness Visits. The challenge was that the specific membership population they needed were the least likely to get care.

Primary barriers:

  • engaging hard to reach members, and
  • getting those members schedules for care

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