ReferWell Blog & Insights
Streamlining Referral Management: How Real-Time Booking Transforms Provider Operations
Explore how real-time slot visibility and automated scheduling can reduce referral leakage and enhance revenue for providers. Did you know that almost half of all specialist referrals never get completed?¹ When this happens, your patients are left without the care...
Turning Policy Change into Member Action: How MA Plans Can Lead in the New CMS Era
The Centers for Medicare & Medicaid Services (CMS) is ushering in a new phase of Medicare Advantage (MA), one that places stronger emphasis on data integrity, outcomes, value-based care, and genuine member engagement. In this environment, success hinges less on...
5 Ways Improving Care Access for Members Is a Force Multiplier for Engagement and Outcomes
Access to care is one of the most critical factors influencing member health outcomes and satisfaction. When members struggle to navigate the healthcare system, it can lead to delayed treatment, unmet health needs, and poor overall experiences. Challenges such as...
CMS Cracks Down on Medicare Advantage Audits: $43 Billion in Estimated Overpayments Leads to Increased Oversight
CMS’s recent announcement to audit every Medicare Advantage (MA) plan annually marks a major shift in oversight, with a clear focus on ensuring that diagnoses, especially those identified during In Home Assessments (IHA), are fully supported by medical records and...
Phone Calls for Member Engagement Work! Here’s Why
The consumerization of healthcare is transforming how individuals access and manage their health. Mobile apps, health plan portals, and AI-powered chatbots are at the forefront of this shift, offering personalized, on-demand tools that mirror the convenience of...
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