Access to Care
Our Solutions
Helping people to get, and stay on, their healthcare journey requires a bit of technology and a good team behind it.
We partner with our clients to tackle their most important challenges
Our Programs
Care Access Complete
Year-Round Care Access Programs That Drive Success Through Empathy & Understanding
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
ReferWell’s systematic and compassionate approach addresses every phase of the member journey—from initial engagement and health assessments to closing care gaps and managing referrals. By combining a year-round program strategy, delivered by empathetic Care Navigators, and enhanced by ReferWell’s Search and Scheduling Platform, we have delivered a claims-validated, enhanced healthcare outcomes, and elevated the member experience.
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.
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
Trusted & Trained
ReferWell Care Navigation
Building Relationships with Empathy and Understanding
At ReferWell, our Care Navigators are dedicated to exceeding expectations in member engagement. Trained to cultivate trust and empathy, they specialize in connecting with members at the pivotal referable moment℠, when they’re poised to embark on their healthcare journey. This strategic approach ensures seamless and integrated care delivery, underpinning ReferWell’s established success in driving superior outcomes for payer and provider organizations.
Actively build trust with members and work to eliminate barriers to care.
Work to understand the needs of the people they are contacting, listen with empathy, and ultimately help them find a solution to get them to the care they need
Look at all the aspects of why someone may not be addressing their health needs including social determinants of health, location, availability, gender, etc.
Our care operations team members personally verify provider network data
Ready to get people to the doctor?
Talk to us today!