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Referral Leakage – Increasing Issue Impacting Profits

referral leakage

Referral Leakage is lost revenue or volumes from patients being referred outside of your provider network – causing you to lose the referral dollars that you were expecting. Only 35-45% of referrals  for adult inpatient care, measured by revenue, go to a partner hospital and this issue is expounding due to lack of preferred tracking mechanisms, lack of cross-EMR integrations,  use of inefficient technologies, such as paper and fax, along with overall industry trends.

Referral leakage is a growing issue because the competition for referrals is increasing.  In the past 15 years, the number of specialist has nearly doubled, and  the advent of urgent cares and pharmacies has further diluted patient referrals.  Hospitals are also buying up private practices in droves and refer within their own network, which hurts the remaining private practice specialist.  Lastly, traditional networking, such as conferences and rounding as hospitals are waning so physicians are seeking new ways of networking.  Compounding these overall trends is the reliance on antiquated and inefficient technologies, such as phone and fax which can stymie the referral management process and has no tracking and limited patient data.

MedVoy’s referral management software provides the solution to track referral leakage.

  • Provides a lightweight patient portal to track and manages referrals and to schedule appointments online
  • Refer directly to providers in disparate networks, including physician-to-physician referrals
  • Provides a sophisticated business intelligence layer that tracks ROI and your best referral sources
  • Offers a new way to network and assists the marketing department in physician outreach

Contact us today to be part of our limited launch!

 

 


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Interoperability Issues Impact Meaningful Use Deadlines

"Image courtesy of jscreationzs, / FreeDigitalPhotos.net"As hospitals and providers have been rushing to meet deadlines, meaningful use stipulations have been fraught with controversy and the recent deadlines extensions are no different – stating issues with aggressive policy, immature technology, and tight deadlines. This summer, the AMA sent a letter to Kathleen Sebelius citing concerns that the timelines were too short, expressed concerns that the vendor community was not ready and that rushing to meet these deadlines would compromise patient care. Last Friday, just weeks before the looming 2014 deadlines, the government agencies, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), delayed Stage 2 timelines to allow time to implement the additional features for Phase 2, such as enhanced patient engagement, interoperability and health information exchange requirements, and to use the data from Stage 2 to make policy decisions.

One of the biggest concerns for meaningful use is interoperability, simply stated that different EHRs cannot talk to each other. In an interview about the deadlines, Dan Haley, VP of government relations at athenahealth, posed the question “Why is it that in 2013 different EHR vendors can’t talk to one another?” The lack of interoperability across EHRs is a major hindrance for the current referral paradigm. When a doctor using one EHR refers a patient to a specialist at another hospital using a different EHR, there is no way to integrate the two patient records. As mentioned in a previous post, 60 percent of ambulatory providers state that the move to EHR is increasing their workload just for document alone. However, rather than waiting for the interoperability to be addresses by the juggernauts, there are solutions that can help integrate data and manage patient records. MedVoy uses push/pulls to other EHRs and build connectors to allow access to all documentation in one place and to help avoid the duplication in procedures. MedVoy helps to bridge the gap between different EHR and put all the documentation into one place so it is simple, easy to use – helping to save time and money.

 

 


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Referral Management Software

Privacy_Lock_72_jpgMedVoy’s HIPPA compliant referral management software is not only for doctors and providers, but this also allows patients to find a doctor or find a dentist of their choice,  and also provides a lightweight patient portal can be used for meaningful use as part of healthcare reform.  The interactive search functionality allows patients to find a specialist, such as cancer specialist, cosmetic specialist, fertility specialist, ortho specialist, diagnostic lab and even to find wellness treatments – while seeing insurance eligibility and verified patient ratings and feedback.  Patients can use the patient portal to schedule appointment doctor online, upload documents and securely message physicians and clinics.
Sign up today to take charge of your healthcare!


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Healthcare Referral Problem

Physician referrals play a large role in healthcare in the United states, but in the past the healthcare industry has had no way to track referrals in a standardized way. A study by Michael L. Barnett studied 845,243 patient visits from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care from 1999 to 2009 and found the probability that an ambulatory visit to a physician resulted in a referral to another physician increased from 4.8% to 9.3%, a 94% increase. The absolute number of visits resulting in a physician referral increased 159% nationally during this time, from 41 million to 105 million. There are an estimated 811,552 physicians, 191,168 dentists, 5,008 hospitals, 5,211 imaging centers, 15,622 nursing centers, 209,499 laboratories in the United States and most of which are all exchanging referrals with paper forms resulting in misplaced patient information, unable to track referrals, no proper backup or reporting system.


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MedVoy 2.0 Limited Launch!

MedVoy 2.0 is now available for select group of providers for a limited launch!  MedVoy has been redesigned as a simple, secure healthcare referral management platform that enables healthcare entities to generate referrals, to track, to manage and to promote continuum of care.
In the current referral paradigm, 70 percent of referrals go unscheduled and 25 percent of scheduled appointments are missed.  MedVoy flips this dynamics and stops the endless paper shuffling – putting providers in control of their referrals.
Here is a sneak preview of some new features for MedVoy
•    Tracks and manages the referral workflow
•    Provides a lightweight HIPAA-compliant user portal
•    Garner Business Intelligence (BI) insights using our BI reporting platformfree
•    Schedule appointments immediately online
Sign up today to get started!


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Health 2.0 Conference Trends

Health 2.0 Conference Trends

Last week, MedVoy was one of a handful of companies selected to launch at the Health 2.0 Conference in the Silicon Valley.  The Health 2.0 Conference focuses on showcasing cutting-edge innovation that’s transforming health and health care, which is why MedVoy referral management platform was selected – as it transforms the referral process from being an onerous paper shuffling process to an interactive patient portal that can integrate with existing EHR systems.

Some emerging trends from the Health 2.0 Conference:

Technology empowers patients

Using patient self assessment tools, consumer can now utilize technology to take health care into their own hands, such Smartphone apps and devices to track such things as, exercise levels, monitor blood samples, medication adherence, biometric devices, and yes, even breathing.  These types of transformative technology can be utilized to bring about long term behavior changes to improve overall health

Healthcare Reform Guidelines

The Affordable Care Act has some crucial stipulations, such as the transformation to Electronic Health Records (EHR) and the convoluted “meaningful use guidelines.”  MedVoy helps with meaningful use by offering a lightweight patient portal that is using with the existing EHR.  Another topic was the paradigm shift from the existing reactionary patient-doctor model to a proactive model with improvements to preventive care and early detection of health problems which is helping to drive a cornucopia of consumer devices.

Big Data is bigger than ever!

Big Data continues to dominate the discussions at the conference, with the increased use of technology, consumer devices, EHR, biometrics, human genome mapping, information exchanges, pricing transparency, etc, – there is now, more than ever data that ever which is an exciting time for data scientists and analysts.  The key will be to integrate the data and leverage the right tools in order to bring about the transformative change that is possible with this data and to improve long term healthcare outcomes.   Talk to one of our experts today if you need help with making sense of your big data.

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Medvoy referral management product launch

Today MedVoy launched their product as part of the health2.0 launch session. Here is our CEO presenting as part of the launch. MedVoy enables patients to search, find and compare doctors plus schedule appointments directly via online and mobile devices. Also it enables providers to make physician to physician referrals, generate, manage and track referrals all in one secure centralized repository with business intelligence reporting and analytics to identify ROI on referrals sources, identify referral leakages and optimize physician alignment programs.

Please send your feedback on Medvoy.com to improve both patient and provider experience

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The Doctors View of Medical Facilitators

One of the major barriers to expansion of medical tourism on a mass scale is the willingness of doctors to participate in the process. There are several things getting in the way:

1. With a shortage of physicians in the US, doctors are busy enough. The are eager to shift their payor mixes from low reimbursment to higher paying patients, but , with the exception of doctors starting practice, they don’t need more patients that might be a headache.

2. Doctors are used to a doctor-to-doctor referral model, not a patient- to- facilitator to institution model. They will continue to push back until there is a comfortable global healthcare referral platform.

3. Doctors are suspect about the value offered by facilitators. Unless they see a tangible return on investment, they are unlikely to engage intermediaries who they see as non-medical professional trying to skim revenue from an industry that is overhyped.

Medical travel is in the early stages of its life cycle. One of the tipping points will be when providers have confidence in the system and the business model.

Arlen D Meyers, MD, MBA
www.medvoy.com
www.careconnectix.com


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Chat with MedVoy

The MedVoy website now has chat functionality enabled. Patients can now chat in real time with an expert which allows patients’ questions to be answered immediately and to deliver high quality customer service.


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Success factors for inbound US medical travel destinations

Several US based hospitals and provider organizations are looking for answers when it comes to how to attract inbound, non-US patients to their facilities and providers. In some instances, for example, as much as 1.5-2.0% of gross revenue can originate from inbound medical travelers, many of which pay for care with cash.

Here are some success factors to consider when building an inbound medical travel unit:
1. Tight referral networks to non-US physicians
2. Hospital infrastructure dedicated to inbound patients
3. A physician staff willing and able to accomodate the needs of inbound patients
4. Travel and hospitality destinations that are attractive to inbound patients
5. Non-hospital travel services that are user friendly-airport, customs, visas, etc
6. Profitable product and service offerings
7. Telehealth and telemedicine connections for pre and post care
8. Accomodations for insurance, cash or other revenue cycle management
9. Strong sales and marketing functions
10. Easy to get to
11.Package pricing with transparency
12.Quality metrics with transparency

Consider this “doctor’s dozen” when trying to attract foreign patients. Experience indicates that successfully accomodating non-US patients requires a substantial modification of existing policies and procedures.

Arlen D Meyers, MD, MBA
www.medvoy.com
www.careconnectix.com


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