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features
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Description

Claims processing can stretch over several months, making it increasingly challenging to control associated costs by that time. A mere few minutes of delay in recognizing patient activity can lead to an unwarranted and expensive hospital admission, which is crucial in the realms of care coordination and achieving success in value-based contracts. MemberMatch delivers these critical insights instantly, equipping care teams with timely intelligence that enables them to proactively and efficiently address active care episodes. This approach assists risk-bearing organizations in enhancing both the quality of care and the financial implications of member interactions throughout the care continuum, ultimately resulting in improved patient outcomes and a healthier financial situation for the organizations accountable for their well-being. By facilitating connections between your care team and the clinical staff involved, essential context can be provided to improve the quality and cost-effectiveness of encounters, helping to prevent unnecessary admissions to out-of-network facilities and redundant testing. In essence, this real-time data empowers healthcare providers to make informed decisions that can significantly benefit both patients and their organizations.

Description

Payers and provider networks that encompass over 10 million patients have successfully overseen 200,000 transitions in care using ReferWell. This platform enhances Medicare Advantage offerings, elevates member satisfaction, and facilitates the closure of care gaps to drive quality improvements. It also works to bolster network adequacy across various electronic medical records (EMRs), while simultaneously minimizing expensive transitions and preventing revenue leakage. By enhancing access to care and uncovering new revenue opportunities through the 340B program, ReferWell aims to support community health initiatives. Additionally, the solution helps to fortify partnerships with local providers, ensuring that patient referrals are directed to appropriate hospital specialists, thus further reducing financial losses. Fully compliant with HIPAA regulations, ReferWell seamlessly integrates with leading EMRs and scheduling systems, promoting efficient clinical data sharing among providers and improving care coordination without the delays associated with traditional communication methods. Supporting all integration protocols, the ReferWell system empowers provider networks to effectively manage patient and member care transitions while maintaining comprehensive oversight of patient and provider interactions. This innovative approach not only streamlines processes but also enhances the overall quality of care provided to patients.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Experian Health

Founded

1994

Country

United States

Website

www.experian.com/healthcare/products/care-management/manage-aco-passport-to-health-membership

Vendor Details

Company Name

ReferWell

Country

United States

Website

public.referwell.com

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