Network Integrity

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  • 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