Solution Use Cases

Accurate information for personalized, value-based care

Stakeholders: ACOs/CINs, Dentists, FQHC, Health Systems, Hospitals, Payers, PCPs, Pharmaceuticals

Solution(s): Real-Time AnalyticsSmartMATCH Decision SupportPatient Access Tools

In a world of value-based care, healthcare providers must understand the full picture of the patient’s health so they can manage costs and risks while delivering high-quality, personalized care. For providers and payers alike, having the patient’s health conditions accurately and completely coded is crucial to appropriate payment for care delivered and risks shared. With ReferralMD, you can track the complete life-cycle of the referral and exchange data in real-time with all community providers regaurdless of their EMR.

Deliver the personalized experiences today’s prospects and payer members expect

Stakeholders: Payers

Solution(s): Referral ManagementSmartMATCH Decision Support

Health insurance payers must think beyond open enrollment and guide members along journeys throughout the year. Acquiring new members, Onboarding and engagement tools, building mutual advocacy, automating member journeys is what we do best at ReferralMD. We can help promote providers with the best outcomes using our decision support technology which ranks doctors on a variety of qualitative and quantitative data scorecards.

Deliver faster, better quality care for patients

Stakeholders: ACOs/CINs, Dentists, FQHC, Health Systems, Hospitals, Payers, PCPs, Pharmaceuticals

Solution(s): Patient Access Tools

ReferralMD sends messages to patients according to their communication preferences (e.g. telephone, email, or text message). These messages can include appointment reminders, pre-appointment paperwork, driving instructions, and follow-up messages.