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

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Categories

Solutions

Description

Product Description:
HQP is a proven independent provider of program evaluation and outcomes verification services to healthcare organizations. Our unique data analytics solution comprises a cloud-based data integration platform, rigorous comparative analytics processes, and professional services expertise required to help determine what really works in value-based care. HQP engages with healthcare organizations committed to value-based care that recognize the importance of independently validating outcomes of vendors, investments, and programs. HQP serves as a third party, independent partner to measure performance and outcomes of existing shared-risk programs and vendor relationships tied to value-based metrics. Our analyses help clients support investment decisions, vendor renewals, or payment allocations by leveraging our outcomes verification methodologies. Our outcomes verification services help organizations determine what really works without any marketing spin ranging from specific interventions to service-line operations, identification of gaps in population health programs and interventions, evaluations of vendor performance and impact, allocation of payments for risk-based contracts, and more. Our services help healthcare organizations produce measurable clinical, financial, and operational improvements through statistical and trustworthy analyses. We envision a future where all healthcare programs are designed as a whole-system and decisions are data informed.
About Health Quality Partners (HQP):
Health Quality Partners (HQP) is a 501(c)(3) non-profit R&D organization committed to designing, testing, and disseminating more effective systems of care for vulnerable patients. HQP's unique design and system thinking approach has proven to reduce suffering, improve health outcomes, and can lower the overall cost of health care. This has already been convincingly demonstrated among higher risk chronically ill older adults. As tested within the Medicare Coordinated Care Demonstration and with Aetna, HQP’s model of Community-based Advanced Preventive Care, significantly reduced hospitalizations, deaths, and total Part A & B Medicare expenditures.
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

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

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:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

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

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

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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Data-driven, fully automated, closed-loop referral management

Downloads

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About ReferralPoint.pdf

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Company Details

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