Specialty Referral Optimization
Powered by Machine Learning
Right Care. Right Time. Right Provider.
Client Impact with Specialty Referral Optimization Patient Navigation
completion rates
line growth
department visits
The Problem
Most health systems are struggling with specialist capacity while looking for ways to drive service line growth.
Avoidable readmissions and ED visits increase, causing poor clinical outcomes, excess costs and lost revenue opportunities.
95% of referrals are marked as "routine" and are managed on a "first-in/first-out" basis with little regard for underlying clinical need.
Hinders ability to execute strategies that optimize capacity and resource constraints.
The Fallout
Lost revenue in profitable service lines due to insufficient capacity management, poor throughput, and suboptimal use of specialty services.
Bottlenecks and constant schedule backlogs causing patients to wait weeks and months before they can receive the care they need.
Increased care gaps and avoidable visits (ED and inpatient) due to patients not receiving proper care in time.
Inability to create effective network strategies due to minimal transparency or accountability into network performance.
Poor patient satisfaction and CAHPS scores result from patients feeling overwhelmed and anxious as they struggle to navigate their own care.
AI-Driven Referral Management
With AI, we create prioritized worklists that leverage machine-learning models to place highest priority patients into your valuable appointment slots.
Our ML models utilize multiple patient and network variables to create a personalized patient score and optimized engagement path.
This approach to specialty referral management is 3.5x more effective than traditional approaches.
Reasons To Take Action
Flexible Solution to Meet Your Needs
Flat monthly fee. We can work with you and your team to decide where to start.
No long-term commitments or restrictive contract terms. If it isn't working, simply turn it off.
Our standard implementation is light with minimal IT impact.
Read About Care Continuity's Specialty Referral Optimization in Hospitalogy
“Care Continuity brings drastic efficiency to this identification process for its clients, increasing navigation results by 2.6x to 3.5x over baseline efforts. Their solution is ~3 times more efficient than what a typical health system, ACO, or health plan could do with its own in-house resources.
Simply put, Care Continuity has the data and expertise.”
