The Treatspace Referral Management Blog

Insight, ideas, and resources for high-performance referral management

Jeremy Guttman

Recent Posts

Shared Accountability for Closed-Loop Referral Management

Posted by Jeremy Guttman on 5/5/16 2:05 PM

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Accountability in health care often means that primary care practices are liable for the cost and quality of a patient’s care across the continuum of care. In the old, diminishing fee-for-service reimbursement system, practices were only reimbursed based on actions within their own office.

Now, in new reimbursement models like ACOs, PCMHs, risk-based contracting, and alternative payment models, shared accountability is king.

“The idea that you are accountable for what happens after people leave your office is no longer just a philosophical discussion. It's dollars and cents.”1

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Topics: Referral Management, Closed-Loop Referral Management, Provider Accountability, Value-Based Care

The Perilous Referral Management Journey [INFOGRAPHIC]

Posted by Jeremy Guttman on 4/22/16 6:02 PM

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The New England Journal of Medicine describes the traditional patient referral process as a perilous journey [1]. Right off the bat, only half of patients show up to their referred specialty physician appointments [2].

In fact, the referral process is so fragmented that even when patients do show up to their specialist appointments, only 32% of specialists will receive clinical information from the PCP prior to seeing the referred patient. [3]

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Topics: Coordinated Care, Healthcare Analytics, Referral Management, Interoperability, Closed-Loop Referrals

Referral Management Risk: Beyond the EHR for Primary Care Practices

Posted by Jeremy Guttman on 2/17/16 3:10 PM

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A tsunami of change is shifting the healthcare reimbursement system towards value-based care.

As a result of legislation passed in 2015, called MACRA, Medicare is supercharging its emphasis on value-based payments and the first performance year will be 2017. As a result, the way medical practices manage referrals will impact their revenue.

“Providers that hope to succeed under the new payment methodology need to begin making changes now.“
- Dave Wofford | Healthcare Financial Management Association

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Topics: Coordinated Care, Referral Network, Referral Management