Referrals Management Changing with Care and Payment Reform

It Needs More

Referrals occupy a singular place in healthcare. Every HCO and provider wants more of them under FFS. Under VBR, HCOs will strive to reduce leakage with in-house consults but will still be referring patients to and receiving referrals from other providers. To become more efficient, referrals and consults will need to be accompanied by more clinical and administrative data, necessitating better integration with other clinical and administrative applications. What is clear is that a referral can no longer be seen as an isolated event and closed-loop referrals management applications can’t stand alone.

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