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Close Care Gaps 3x Faster

Care navigation services and scheduling technology improve quality performance for your health plan.

BCBS 10X care gap case study call to action

Struggling to get beneficiaries to preventive screenings? See how a Blues plan engaged ReferWell’s care navigators to call Medicare Advantage members and schedule care gap appointments, impacting 10x more care gaps than the plan requested in just the first month.

Download the case study to see how the plan did it.

Care Gap Closure Solution

ReferWell’s care gap closure solution lets health plans close care gaps for targeted member populations. ReferWell’s care navigation team efficiently handles your member outreach and uses ReferWell’s digital health technology to schedule preventive care, such as mammograms and colonoscopies, send at-home colon cancer screening kits and annual wellness visits with a primary care physician.

Your Highest Value Care Gaps Closed

Colorectal Cancer Screenings

Diabetic Retinopathies


Annual Wellness Visits

Prenatal Care Visits

How it Works

  • Care navigators find the right providers(s) and schedule preventive care appointments for members at the referable moment.

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    Members receive email and text reminders and are more likely to follow through with their preventive care screenings.

  • Share clinical data between providers via a HIPAA-secure conduit, across all EMRs, ensuring the PCP is in the loop and the plan is informed of the visit status.

  • Care navigators can be employed by the plan, if preferred.

Increase Your Revenue

Increase revenues by improving HEDIS measures and Star ratings.

Reduce costs by increasing preventive screenings, saving downstream spend.

Improve revenue by improving efficiency and efficacy of outreach programs.

Benefits of ReferWell’s Care Gap Closure Solution

Increase CMS Reimbursements

Close more care gaps, improving HEDIS scores and increase member satisfaction for higher Star ratings.

Augment Internal Care Coordinators

ReferWell care coordinators offer a flexible staffing option; they can be deployed to augment your existing staff when needed.

Improve Preventive Care Compliance

Patient show rate dramatically increases when the appointment is booked ‘right then and there’ with an in-network doctor, at a convenient location and time.

Track and Resolve Patient Data

ReferWell helps capture the relevant appointment data for prior preventive care so the PCP can keep their patient records up to date.

Expert Care Navigators to Call Members and Schedule Care Gap Appointments

ReferWell care navigators are your call center staff to engage members and schedule care gap appointments. Multi-lingual and experienced in patient-facing clinical settings, they are experts in educating members on the value of preventive care and addressing barriers members may face in seeking care. With flexible night and weekend schedules and carefully crafted scripts, care navigators have a track record of increasing member reach and impact rates.

Start impacting care gaps today.

See how ReferWell impacted 10x more member care gaps for colorectal and breast cancer screenings in just one month. Get your copy of the case study now.