Join ReferWell at RISE Qualipalooza to see how health plans are turning care gap identification into confirmed, completed appointments — and 8–10x validated ROI.
The Missing Middle Between Your Data and a Completed Appointment
You can identify every member with an open care gap. The problem is what happens next. ReferWell closes the loop between a quality flag and a confirmed visit — combining expert care navigators with intelligent scheduling technology.
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Stars & Gap Closure
We close HEDIS gaps through confirmed appointments, not just outreach. Our show rate for MA members is ~92% — versus a 35–60% industry benchmark.
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Closed-Loop Reporting
We track show rates in near real-time — not months later. You always know whether the member showed up, down to the appointment level.
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MLR-Qualified Spend
ReferWell engagement programs qualify as Medical Loss Ratio spend, not administrative cost — a budget structure that changes the conversation entirely.
What Makes ReferWell Different
We Are Not a Call Center.
We Are the Human in the Loop.
ReferWell combines trained care navigators with proprietary scheduling technology to bridge the space between a health plan’s member list and a confirmed appointment.
Navigators handle 26–30 calls/hour in the member's native language, speaking in the voice of your health plan
Strategic redials capture 5–7% additional impact from members who say they'll self-schedule — but don't
Provider-matching and smart scheduling books appointments in under a minute
No-show follow-up and appointment reminders complete the loop so every gap closure sticks
Actuarially validated outcomes — not modeled projections
Schedule a meeting with the ReferWell team at Qualipalooza 2026. We’ll show you exactly how health plans like yours are turning care gap identification into measurable Stars performance.