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Description
Compatibility Level
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Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
ReferralPoint
ReferralPoint

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Categories

Solutions

Description

Product Description:

With rich analytics and customizable dashboards built on our award-winning healthcare data platform, Pop-health analytics solution offers state-of-the-art visualization and dashboarding capabilities, powered by real-time health data efficiently unified from disparate sources, allowing for rapid computing and scalable access to give you actionable insights into quality, performance and cost metrics of your organization and help you achieve the desired clinical and financial objectives for your population health management programs.

Why Innovaccer 

  • Ability to perform organization-wide and granular analysis to understand problem areas and address issues
  • Built-in access controls to enable varied access to different users to enable collaborative effort without compromising on data security
  • Real-time unified health data as the substrate for advanced analytics, generating actionable insights 
  • Automated data alerts through emails to enable users to always be on top of important KPIs
  • NCQA (HEDIS and AMP) and HiTRUST certified

About Innovaccer:

Innovaccer is the data platform that accelerates care innovation through innovative AI technologies. Innovaccer’s AI-powered healthcare platform unifies patient data across systems and care settings, and empowers healthcare organizations with scalable, modern applications that improve clinical, financial, operational, and experiential outcomes. Innovaccer’s EHR-agnostic solutions have been deployed across more than 1,600 hospitals and clinics in the US, enabling care delivery transformation for more than 96,000 clinicians, and helping providers work collaboratively with payers and life sciences companies. Innovaccer has helped its customers unify health records for more than 54 million people and generate over $1.5 billion in cumulative cost savings. The Innovaccer platform is an industry-leading data and analytics platform, the Best in KLAS CRM solution, and the #1 rated population health technology platform by Black Book

Product Description:

Establish Networks
Our data ingestion platform can consume internal and external claims, quality data, and other relevant insights such as patient access or provider loyalty data that allow you to then rank specialists and facilities using a custom weighting method by service line. Our clients leverage this intelligence to build custom referral networks. Examples include a network for value-based care, an owned provider network, an affiliated network, or building networks for community-based resources.

Auto IdealMATCH
Leverage Network Intelligence data at the time of referral. Coordinators are prompted to select the most appropriate specialist for the patient based on insurance, quality outcomes, costs, location, and patient preferences. IdealMATCH is integrated into Epic so it doesn’t disrupt the existing workflow.

Auto Prior Authorizations & Scheduling
ReferralPoint is able to automate a large portion of the referral notification and prior authorization process then enables automated scheduling capabilities based on the workflow of the practice (by patient, by staff, in real-time).

Auto Closing the Loop
ReferralPoint supports closing the patient care loop between the primary care provider and specialist while tracking each step from referral order to a closed loop regardless of the referred-to providers EHR. Once a referral option is selected, ReferralPoint automates communication (SARA) with the patient to guide them along the journey then updates the status of each referral - including automated reminders, follow up, and even feedback surveys which can be used to update the scores of each provider. Because our solution is built on a data ingestion engine, we can close the referral loop a number of ways including engaging the patient, faxing the specialist, analyzing claims or receiving ADT feeds.

About ReferralPoint:

ReferralPoint is the leading expert in referral management solutions for health systems, medical groups, and payers looking to reduce leakage, increase revenue and savings, improve efficiency, and enhance patient satisfaction. ReferralPoint uses data and automation to alleviate staffing challenges while supporting fee-for-service and value-based care initiatives. ------------------------------ Beyond a tech vendor, we're a data-driven network management and closed-loop referral solution, delivering quantifiable financial impact insights, revenue maximization, and streamlined workflows. From reducing leakage to automating communications, we prioritize efficiency, patient satisfaction, and building high-valued Preferred Networks. Our one-click EHR-integrated solution ensures seamless workflows, including insurance verification, IdealMATCH selection, authorizations, scheduling, and real-time tracking. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:
- Easy access/visibility into patient’s care and coding gaps at the point of care (information otherwise buried within the EMR) - Receive and send care/coding gaps (and messages) to and from 3rd parties - Improve operational efficiency - Be able to view the list of patient appointments and review gaps/insights in advance - Legal compliance - Physician scorecard: tracking provider performance across quality or cost measures - CDI :clinical documentation improvement - Revenue or shared savings opportunities
Pediatric use cases:
- Proactively track and close care gaps for pediatric measures - Take action by having insights about completed, pending and upcoming vaccinations, immunization visits, and wellness visits - Manage diseases prevalent in childhood such as pneumonia, asthma, mood disorders, appendicitis, and infections
Users:
Physician, Physician Staff, Decision Makers at Payer and Provider Organizations
Description:

Ideal partners look to automate, streamline, and track outbound referral processes for [de]centralized referral/care coordination teams all from within EHR workflows.

Pediatric use cases:

None provided

Users:

PCP Groups, Provider Groups, Health Systems, FQHCs, ACOs, CINs, Payers

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Azalea Health/Prognosis, Cerner, eClinicalWorks, Epic, GE, Healthland, McKesson, Meditech, NextGen, Other

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, Community based organizations, ADT

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Athenahealth, NextGen, Allscripts, GE, eClinicalWorks, Meditech, Epic

Hardware Compatibility:

None provided

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

The solution is an analytics platform that would allow fast, comprehensive, and customizable analysis of data to drive insights that would enable organizations to move closer to their goal of achieving quadruple aim - reduce cost, improve quality, improve the patient experience, and improved clinical experience. It also includes solutions capable of executing machine learning (ML) and artificial intelligence (AI) algorithms on big data across different customers.

Differentiators vs Competitors:

While most of our features and functionality are pre-built, we collaborate closely with each client during the negotiation and implementation phases of each project to customize reports, workflows, etc. to best meet each client’s needs, and are willing and able to adapt our roadmap and client-specific efforts to further adapt our integrated data model platform and integrated applications. Innovaccer understands that value-based organizations require cohort-driven, strategy appropriate, and tactically relevant programs to drive provider and patient compliance. Innovaccer works together with the customer during the contracting and implementation phase to craft multiple programs that take client-specific needs into consideration, including the comprehensiveness and efficiency of cohort-specific evidence-based guidelines; benchmarking flexibility; and multiple risk model assignment.

Differentiators vs EHR Functionality:

Unlike our competitors, we ingest your patients, claims, and 3rd party data

Differentiators vs Competitors:

More than just a referral app...we're a Data Driven, Fully Automated, Referral Strategy Platform that allows you to:  

1. Analyze Referral Trends over three year look-back to reduce leakage, cost, improve care quality and patient experience

2. Optimize Preferred Networks with provider scoring, patient-provider matching, and actionable insights into gaps and opportunities

3. Automate Referral Workflows with provider selection, scheduling, patient communication, and closing the loop all from within your existing EHR workflow

Keywords

Images

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Referral Insights - Network GAPS & OPPS.JPG

Videos

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Downloads

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2023 Best In KLAS Summary Report
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VillageMD Case Study.pdf

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Company Details

Founded in 2014

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