Difference between revisions of "Network Integrity"

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Line 2: Line 2:
 
** Initiated via competitors ER, Surgery or hospital stay
 
** Initiated via competitors ER, Surgery or hospital stay
 
** Initiates via Urgent Care, Virtual Visits, Other
 
** Initiates via Urgent Care, Virtual Visits, Other
* Physician Referrals  
+
* [[Physician Referrals]] - Reason for Physician Referrals  
 
** PCP Referrals
 
** PCP Referrals
 
** Specialist Referrals (including Ambulatory Surgery/Services)
 
** Specialist Referrals (including Ambulatory Surgery/Services)

Revision as of 15:02, 19 February 2019

  • Poorly Managed Patients – Acute Episodes
    • Initiated via competitors ER, Surgery or hospital stay
    • Initiates via Urgent Care, Virtual Visits, Other
  • Physician Referrals - Reason for Physician Referrals
    • PCP Referrals
    • Specialist Referrals (including Ambulatory Surgery/Services)
    • Acute Care Referrals (within ER, Hospital)
  • Patient Preferences – Non-Acute
    • Initiated via Retail Pharmacy, Urgent Care, Virtual Visits
    • Patient selects physician or service that’s different from referral

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