The ability to coordinate referrals across a disparate provider network has many challenges including, long lead times, finding the right provider, efficiently coordinating care, and tracking the timeliness and completion of appointments. These challenges create a time-consuming process, a poor patient experience and untimely access to care. As a result, many patients experience long delays or simply do not follow through on these referrals - correlating to lower clinical outcomes and increased medical costs. In both fee-for-service and value-based models, such outcomes can have severe consequences. To address these challenges, Humana created a digitally connected network across its employed primary care physician (PCP) offices and the corresponding affiliated specialist network. This session will discuss the technology solution, deployment approach, and quantitative results of this connected care program.
Outline the approach for creating a connected network across disparate systems
Analyze the clinical and financial impact of more timely and convenient referrals
Demonstrate the usage of real-time analytics to change referral behaviors
Review lessons learned for deploying a technology platform across employed and affiliated providers