What Does it Mean to Master Care Transitions Through the Last Mile?
At ReferWell, our mission is to drive efficient care transitions through the last mile. We have previously discussed how we define care transitions (which goes beyond referral management). But...
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Move the Needle on Member Experience, with Appointment Scheduling
What’s the Urgency? Recent Changes in CAHPS Score Weighting Affect Plans' Strategies Starting this reporting year, CMS is doubling the weight of patient experience measures used to calculate Star...
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3 Easy Ways to Increase Show Rates at Referral Appointments
Hint: It’s Not About Show Rate Reducing no-shows and missed appointments is an area where many health care organizations continue to struggle. While there are a variety of factors at play, recent...
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10 Ways MA Plans Increase Member Satisfaction & More with Telehealth in 2021
While the pandemic undoubtedly spurred the dramatic increase in telehealth adoption among payers and providers this year, most health care leaders agree that this new normal has become so integral...
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HHS OIG Calls for MA Plans to Provide Care Coordination Beyond HRAs
In a report released on September 10, the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) expressed concerns about how Medicare Advantage (MA) organizations are...
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What Pharma Attacks on 340B Mean for FQHCs and CHCs
By now, you’ve probably read at least a few articles on how the pharmaceutical industry is trying to withhold 340B drug savings from certain health care organizations. If you’re employed by a...
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Preparing for Open Enrollment 2021 with Member Engagement Now
Open enrollment is approaching quickly for payers and their provider networks. It is a tense time of year for these organizations — a time when your membership decides if they are going to renew...
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The Secret Connection Between Patient Show Rate and 340B Compliance
According to the 340B Drug Pricing Program, your Federally Qualified Health Center (FQHC) is entitled to 100% of the reimbursement rate on any 340B outpatient drug prescription your patient fills...
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Why do Care Transitions Matter?
Our health care system today is fragmented. Providers belong to practices, clinics, hospitals, health plans and other provider networks like Accountable Care Organizations or Clinically Integrated...
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How FQHCs can Capture 340B Prescriptions from Specialist Referrals
Federally Qualified Health Centers (FQHCs) are crucial safety net providers of outpatient care for underserved populations. As defined by the Health Resources and Services Administration, FQHCs...
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