BCBS Impacts 10x More Care Gaps Through Care Navigation & Scheduling
A Blues plan in the southwestern U.S. partnered with ReferWell to impact care gaps for Medicare Advantage members who were overdue for colorectal and breast cancer screenings. Just one month into the engagement, ReferWell far surpassed the KPIs set by the plan by: Reaching 100% of members 3x faster than requested Engaging 2.5x more members […]
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 […]
Delivering 242% ROI for a National Medicare Advantage Plan by Improving Access to Care
ReferWell demonstrates the effectiveness of a targeted access to care strategy, showcasing not only significant financial returns, but also successfully getting members to go to their PCP. All validated by claims. The health plan faced a significant challenge with a portion of its Medicare Advantage member base—many had not visited a primary care physician (PCP) […]
Improving Referral Management at FQHCs
“I now get the right information to the specialist and receive consult notes back at an unprecedented rate, helping me provide better care to the patient.” – Medical Director See how a 12-site, New York City-based federally qualified health center (FQHC) turned an overworked, backlogged referral department into an efficient, patient referral system with workflows […]