ReferWell Blog & Insights

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’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...

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...

As we enter 2025, the healthcare industry stands at a pivotal moment shaped by transformative trends from the past year. Advancements in artificial intelligence (AI), escalating healthcare costs, and heightened cybersecurity threats have underscored the need for...

Learn how ReferWell’s Year-Round Program tackles challenges in Medicare risk adjustment by ensuring accurate coding, continuous care, and timely follow-up visits—helping health plans meet compliance, improve outcomes, and boost ROI.