Access to Care
Our Solutions
Helping people to get, and stay on, their healthcare journey requires a bit of techology and a good team behind it.
We partner with our clients to tackle their most important challenges
Closing Care Gaps
- Improve HEDIS score measures
- Boost Star ratings
- Boost state-level quality scores
- Increase CMS reimbursement
Health Risk Assessments
- Facilitate early identification of high-risk members
- Boost cost savings by addressing health risks early
- Personalize care plans based on the information collected through the HRA
Referral Management & Provider Support
- Give low-performing provider groups the tools (and resources) they need to get members the care they need
- Improve provider satisfaction by increasing member show rate
CAHPS
- Improve member experience (CAHPS)
- Identify high-risk targets, engage them, and offer to schedule them for Annual Wellness Visits
Navigating Access to Care
- Respond to at-home test kit results
- Improve access to PCPs, specialists, mental health and SDoH services
- Reduce health disparities
- Enhance care coordination
- Increase show rate/follow-through
Engaging & Retaining New Members
- Improve new member experience
- Keep members from plan-jumping
- Drive full PCP attribution
- Schedule Annual Wellness Visits
Improving Risk Adjustment Performance
- Schedule appropriate follow-up care
- Meet CMS coding requirements
- Identify high-value targets and schedule their risk adjustment visit
Don’t see the program you’re looking for? That’s OK. We can design one just for you.
We customize programs to fit our clients’ needs and tailor them to drive your specific outcomes.
Our Approach
Data + Empathy = Connections that Create Value
We drive value for payer and provider organizations, transforming access to care by using a curated provider database, an innovative Perfect Match℠ search and scheduling platform, proprietary member engagement and outreach from our care navigators and hands-on approach to program management, that combined, makes the complex problem of getting people to the right care easy.
![workflow ReferWell Process](https://referwell1.wpenginepowered.com/wp-content/uploads/2024/03/workflow.jpg)
Technology
The ReferWell Platform
Data Informing Meaningful Healthcare Outcomes
ReferWell’s platform is built using a curated provider database and an innovative Perfect Match℠ search and scheduling technology that uniquely empowers Care Navigators with the data they need to make meaningful connections and drive positive healthcare outcomes.
![iStock-1319000799](https://referwell1.wpenginepowered.com/wp-content/uploads/2024/05/iStock-1319000799.jpg)
Displays in-network options for each patient
Filters referral providers by insurance accepted, subspecialty, responsiveness, location and language
Seamlessly schedules appointments and sends reminders and follow-ups
Provides a real-time view of patient, referring provider and specialist behavior and status.
Manages and tracks providers’ behavior to encourage loop closure
Detailed reporting on appointments, utilization, and provider availability
Ready to get people to the doctor?
Talk to us today!