Reduce and Track Leakage using ReferralMD Provider SmartMATCH

Fundamentally, referral leakage is the failure to be perceived as the best provider in a competitive market.

Guide Referrals to In-Network Providers using ReferralMD SmartMATCH and keep track of your patient referrals.

Research and match patients with in-network doctors based on your own rules, transfer patients with streamlined workflows, and tracking track their journey.

The True Cost of Patient Leakage

More than 200,000 physicians in the U.S. are now employees, and 3 in 4 medical residents will start their career as employees of a medical group, hospital or faculty. As healthcare organizations continue to consolidate and build larger networks, better collaboration between primary care and specialists is critical.
With only 35% to 45% of referrals for adult inpatient care, as measured by revenue, go to a partner hospital. This results in over $90M dollars in revenue lost for every 100 employed physicians due to care teams not having accurate information about their specialty care network.

When patients receive out-of-network care:

The ability to coordinate care is dramatically decreased, which in turn can undermine patient outcomes and population health management efforts.
The network loses both clinical and financial control of the patient’s care. For example, an out-of-network physician may order tests and treatments that do not align with evidence-based best practices. Regardless, the parent network is still responsible for the cost. In this case, patient leakage can significantly increase the cost of care.

Features:

Improve the specialty care selection process with accurate network affiliation, insurance accepted, proximity to patient, specialty, sub-specialty, procedures and conditions treated (and more)
Optimized referral workflows based on your health systems specific requirements
Tag providers as either affiliated (in-network) or non-affiliated (out-of-network)
Provide PCP communication tools and access with your facility

Benefits:

Improve patient wait times and access to care
Improve referral volume/rates, preparedness, and appropriateness
Fewer out-of-network referrals
Increase revenues for fee-for-service organizations and lower risks and costs for value-based care organizations
Higher physician satisfaction and engagement

Interested in learning more?

Click to learn about SmartMATCH from ReferralMD