ReferWell Blog | The Loop

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We've all been there...

We’ve all been there…sitting anxiously in our PCP’s office waiting for the result of some routine tests. As the doctor comes back with the results, you hope he or she is going to say, “you’re good to...
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How Care Navigators can help payers close care gaps and improve HEDIS scores

The Healthcare Effectiveness Data and Information Set (HEDIS) is used by more than 90% of healthcare payers as a means to assess their performance. HEDIS is important to payers because it impacts...
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OIG report details common tactics used by top ACOs to save cost while improving care

The Office of Inspector General (OIG) recently reported on key tactics shared by the top 20 ACOs who are returning savings to Medicare under the Medicare Shared Savings Program.
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Scribes for the Win!

Medical scribes have become an integral part of the medical landscape.  By 2019, there will be 100,000 medical scribes, roughly 1 for every 9 physicians.
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The Burden of Prior Authorizations

Prior authorizations are one of the myriad of examples of inefficiency, bureaucracy and red-tape that bogs down our healthcare system. Unfortunately, prior authorizations are not going away. This...
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What is a referral?

In healthcare, a referral is commonly defined as the act of directing a patient to a medical specialist. However, that definition is too simplistic. A better and more comprehensive definition is the...
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The Data Show Providers Lack The Necessary Information When Making Referrals

Our recent blog post discussed how the vast majority of consumers rely on their doctor for advice and guidance on care decisions.  We concluded the post by saying, “the bottom line is that to save...
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Healthcare Decision Making Continues To Sit With The Provider, Not The Consumer

Austin Frakt recently published a fantastic article in the New York Times titled, “Shopping for Health Care Simply Doesn’t Work. So What Might?” In short, the article notes that consumers rely almost...
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The Success of the NY State DSRIP Program

In April 2014, New York Governor Andrew Cuomo announced that New York would be implementing a series of Medicaid reforms through a Delivery System Reform Incentive Payment (DSRIP) program. The DSRIP...
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The Implications of the Stark Law As We Shift to Value-Based Care

The Stark Law was enacted in 1989 to prevent physician self-referral. Self-referral is when a physician refers a patient to a hospital, lab or other entity to which he/she has a financial benefit....
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