Network Integrity

• Poorly Managed Patients – Acute Episodes
  • Initiated via competitors ER, Surgery or hospital stay
  • Initiates via Urgent Care, Virtual Visits, Other
• 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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