Who We Serve

Built for the Organizations Accountable for Outcomes

ReferWell partners with health plans, risk-bearing providers, health systems, and community health organizations that can’t afford referral leakage, care gaps, or missed appointments. We bridge the gap between identifying a patient’s care need and getting them to a confirmed, completed appointment — the missing middle no healthcare organization can afford to leave unaddressed.

We are the Human in the Loop. 

Jump to your organization

HEDIS · Star Ratings · Member Engagement

Value-Based Care · Shared Savings

Referral Retention · Network Optimization

Health Equity · Barrier Navigation

Who We Serve

Built for the Organizations Accountable for Outcomes

ReferWell partners with health plans, risk-bearing providers, health systems, and community health organizations that can’t afford referral leakage, care gaps, or missed appointments. We bridge the gap between identifying a patient’s care need and getting them to a confirmed, completed appointment — the missing middle no healthcare organization can afford to leave unaddressed.

We are the Human in the Loop. 

HEDIS · Star Ratings · Member Engagement

Value-Based Care · Shared Savings

Referral Retention · Network Optimization

Health Equity · Barrier Navigation

8-10x

Validated ROI on Program Investments

15–20

Percentage Points Above Industry Show Rates

3×

Higher Gap-Closure Rates vs. Standard Outreach

10M+

Covered Lives Served

10+

Years of Healthcare Expertise

Health Plans

Hospitality-Level Member Engagement. Measurable Results.

Health plans invest heavily in analytics, risk stratification, and quality programs. But identifying who needs care is only half the equation. When members don’t show up, quality scores suffer, medical costs rise, and retention declines. ReferWell bridges that critical gap.

By combining intelligent scheduling with human, empathetic care navigation, we help plans convert outreach into completed appointments — driving measurable improvements in HEDIS and Star Ratings performance, reducing avoidable utilization, and strengthening member satisfaction.

What This Means for You

Scalable care gap closure

HEDIS and Star performance lift

Reduced call center burden

Improved member experience and retention

Validated ROI tied to measurable outcomes

~92%

Show Rate

Medicare Advantage Memebers

8-10x

Show Rate

Medicare Advantage Memebers

242%

ROI

$1.95M revenue on $570K cost

73%

Improved CAHPS

Member Ratings (Case Study)

242%

73%

88%

Retention Rate

For At-Risk Members

3x

Gap Closure Rate

vs Standard Outreach

At-Risk Providers & ACOs

Manage Risk. Coordinate Care.
Drive Shared Savings.

For organizations taking financial risk, missed referrals and incomplete follow-ups are more than administrative problems, they’re financial exposure. You need infrastructure that keeps attributed members engaged, ensures appropriate specialty access, and supports quality measure performance across your population.

Key Outcomes

Improved quality measure performance

Member attribution and retention

Care transitions coordination

Shared savings achievement

Hospitals & Health Systems

Optimize Referrals. Retain Patients.Coordinate Across Your Network.

Health systems operate across multiple sites, specialties, and scheduling platforms. Without centralized coordination, referrals leak, access delays increase, and patient experience fragments. ReferWell embeds directly into care coordination workflows, enabling real-time in-network scheduling and closed-loop referral tracking. The result? Fewer dropped handoffs, reduced leakage, and stronger downstream revenue capture.

Key Outcomes

Reduced referral leakage

Improved specialty access

Enhanced care coordination

Increased patient retention

85%

EHR-agnostic

<1min

Time to Book

With Connect Smart Scheduling

85%

Capture Rate

In-network Referrals

20-25%

↓ED

3x

Referral Volume

vs Private Practices

25%

Referral Completion

Potential Rate Increase

100%

Audit-Ready

Documentation for HRSA & TJC

↓ED

Reduction

In preventable ED vists & Readmissions

FQHCs & Community Health Centers

Extend Your Reach. Serve Your Community. Advance Health Equity.

Community health organizations serve populations facing transportation, language, financial, and social barriers to care. Care teams are stretched thin, and follow-through on referrals is often the hardest part. ReferWell extends your reach with empathetic navigation support and intelligent scheduling tools that ensure referrals become completed appointments even when barriers are complex.

Key Outcomes

Higher specialist referral completion

Barrier identification and resolution

Cultural and linguistic navigation support

Improved preventive and chronic care outcomes

Trusted Across the Healthcare Ecosystem

Whatever your structure,
we make care navigation work.

ReferWell serves organizations of all sizes, from regional health plans and independent physician groups to national health systems and federally funded community health centers. Whatever your structure, we bring the expertise, technology, and human support to make care navigation work.

When identification must become execution, we deliver the missing middle.

10M+

Covered Lives

Served across Medicare, Medicaid, Commercial, FEP, and ACA populations.

10+

Years of Experience

Purpose-built for the complexity of healthcare access and care coordination.

8-10x

Validated ROI

Confirmed by claims-based analysis across health plan partners.

10M+

Covered Lives

Served across Medicare, Medicaid, Commercial, FEP, and ACA populations

10+

Years of Expertise

Purpose-built for the complexity of healthcare access and care coordination

8-10x

Validated ROI

Validated ROI across health plan partners — confirmed by claims-based analysis

Let's Find the Right Fit

Not Sure Which Solution Fits?

Our team works with healthcare organizations every day to identify the right approach for their specific goals, population, and infrastructure. Let’s talk about your challenges and find the right path forward.