Our population health and chronic care management solutions include: 

Chronic Care Management

Programs that are developed for patients who are living with multiple chronic conditions.

Annual Wellness Visits

Supportive services that are designed to increase your efficiency and help you improve patient attribution. 

Insight and Analytics

Get a clearer picture of your patients living with chronic conditions so that you can make better decisions.

Value-Based Care Solutions

Strategies and resources that are designed to help you achieve your ACO shared savings goals.

Health Systems/ACOs/DSRIPs/CINs

• Reducing patient leakage through SmartMatch decision support and real-time analytics

• Standardizing and streamlining the referral management process across the organization

• Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

• Matching patients with most appropriate providers using SmartMatch decision support

• Closing the feedback loop with specialists and reducing phone calls and faxes

• Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

• Increasing referral volume and capturing more revenue using CRM and marketing tools

• Improving customer service with referring providers through automated status reports

• Managing referral network and gaining insight into referral patterns using analytics

ReferralMD delivers proven referral management, patient access and e-consult solutions that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage and improve communication between providers and patients. The enterprise platform matches patients with the most appropriate providers and closes the feedback loop between providers and patients. The solution’s powerful workflow and clinical decision support tools help healthcare providers increase revenue, drive operational efficiencies and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com.

"My practice was introduced to SparroWell through the ACO we are part of. I had no clue what CCM was but after 5 minutes on the phone with Ernestina, I was sold. Literally, sold.

She was able to get started within a few days and within a couple of weeks we had a full-functioning chronic care management program going! My NPs didn't need to do anything.

The nurses from SparroWell let us know of issues that were found with our patients..... some of those issues could have led to unnecessary hospitalizations. We have started seeing residents in our communities switch over to our practice, which has been nice to see. 

Our ACO attribution has increased significantly from last year, which is SUPER nice to see and our monthly reporting shows high risk resident costs decreasing." 

Dr. P. | President and former State Medical Director

“We have had over two years of hands-on CCM experience. We built a turnkey operation from the ground up with a different partner that was pretty successful from conception. As we grew we realized that we had our own limitations of staff, knowledge, and execution of meaningful visits. We were stuck and couldn't grow. A colleague introduced SparroWell to our group and I could tell right away they were different. 

From the very beginning it's been smooth, exactly as promised, and honestly, much better than we anticipated. Ernestina and her team are truly a turnkey operation that has eased our minds about the future of our CCM experience. 

Her team guided us through the onboarding, put in the hours and the time to get started, and has exceeded our expectations with customer service. We have not had a single complaint about any member of the SparroWell team and it has been refreshing. 

Hands down best decision we have made.”

H.R. | Chief Operating Officer

"When I logged on this morning, I noticed a message from one of my providers....this didn't just make my day....it made my entire month! 

He said "Just thought I would let you know that my communities have had such positive things to say about you! They really enjoy collaborating with you and all have expressed appreciation for everything you help them with. Keep knocking it out of the park!" 

J.A. | SparroWell Care Manager via their Nurse Practitioner

“Honestly, I hadn't ever heard of Chronic Care Management before our medical director introduced us to our CCM Case Manager. 

Now, I wonder why every single medical director doesn't have a CCM program. Our CCM nurse has prevented several tags that I know of and I would imagine SOOO many more that we don't!

Our CCM nurse is an extremely valuable resource for our community.....we joke sometimes and tell her "where have you been all of my life?"

C.R. | Director of Nursing at a long-term care facility

"Hello Dr. K, my mom and I just got off the phone with Katelyn. We just wanted to let you know just how much we enjoy her. 

I know mom worries quite a bit and calls Katelyn quite often. Anyways, we just wanted to thank you for bringing her on your team. I can definitely see mom's anxiety and worries about her health are becoming less and less since she seems to really like her.”

Dr. K. | Patient guardian via physician

• Online Scheduling – new patients can book appointments from your website without setting up an EHR patient portal account
• Referral Management – website portal for receiving referrals, customized workflow, automated alerts when referrals need attention
• Patient Communications – automated text/email messages sent to patients triggered at specific steps in the consult or referral journey
• Provider Communications – automated consult and referral status updates sent to sending providers to close the loop between PCPs and specialists
• Fax Management – manage all inbound faxes and push faxed referrals into the referral workflow, ability to split faxes into multiple documents
• Marketing CRM – physician liaisons can document outreach and compare outreach activity with referral volume from their partners
• Market Research – over 7 million providers pre-loaded which allows you to identify new potential referral partners in your target markets
• Referral Analytics – comprehensive suite of analytics to report on all your referral metrics (trends, volume, leakage, service levels, outreach, etc.)

Differentiator 1: All-In-One Platform

• Some vendors offer patient access, referral management, e-consults or CRMs. Our cloud-based platform offers them all plus the following features.
• Real-time analytics across the platform
• Automated workflow and decision support tools
• Automated feedback loop with referring providers
• Automated patient communications via text or email
• Integrated fax management system (port over existing fax numbers)
• Integrated Customer/Partner Relationship Management (CRM/PRM)
• Marketing research tools based on a directory of over 7 million providers

Differentiator 2: Rapid Integration Capabilities

• Our integration engine allows our Integrations Team to quickly deploy system interfaces using APIs, FHIR, HL7, Direct, etc. which is important when implementing the platform for health systems, ACOs and CINs with many EHRs, data warehouses and other third-party systems across their networks.  
• In addition, we comply with the third-party system’s specifications rather than asking the vendor to follow our requirements which streamlines the integration process and reduces cost for the client. 

Differentiator 3: All Healthcare Referrals Supported

• The system is highly configurable and can support all healthcare referral types such as medical, specialty care, therapy, imaging, dental, behavioral health, hospice, home care, etc.  
• The customization in the system allows clients to define their own workflows, referral forms, patient communication templates, and other settings that can be standardized across the organization.