Specialty Referral Networks
Referral networks are the bloodline of specialty practices. Practices looking to remain independent must adjust to the changing inner workings driving referrals from Primary Care Providers (PCPs). However, without the right insights, it can feel nearly impossible to understand where you stand in the market and how that’s impacting your patient flows.
If you wait to make changes to your referral networks once you start seeing patient flows slow down – it’s already too late.
Referral Networks Have Changed
The inner workings of physician referral networks have changed. A circle of alumni, long-time friends, and mutual associations will no longer keep your practice thriving. Referrals have become less of a 1-to-1 decision and more of a many-to-1 decision between…
PCPs are under increasing pressure to refer to specific, high-quality specialists based on scorecards dictated by patient outcomes, satisfaction, costs, and utilization.
Payers have many levers they can pull to steer patients toward certain specialists. Desirable specialists who get the most referrals are those who consistently deliver the best care metrics to prove they provide high-quality care while meeting cost goals.
While provider referrals are the starting point, patients are becoming more involved in their care decisions completing research on their own.
If you feel like you already have a full schedule and funds are flowing appropriately, it makes sense that referral networks are not a top priority. However, while today's network may be adequate—without attention, tomorrow's network may not be.
We're here to help you build and strengthen your referral network before it's too late.
Take a Proactive Approach to Specialty Referral Networks
Independent practices must take control of their practice and work to tell the story they want to tell and that key decision-makers want to hear. Practice should look to:
Leverage advanced analytics that give relevant providers and payers the metrics that matter—instead of waiting for a scorecard to tell them.
Join—or create—clinically integrated networks (CINs) with other high-quality providers for thoughtful utilization that aligns with physician-defined clinical pathways.
Evaluate for continuous self-improvement—not just for your physician referral networks but for all of your practice operations.
Technology + Expertise
We support practices with a comprehensive approach to analyzing and maximizing practice opportunities—including improving physician referral networks.
Data-Backed Solutions
It starts by implementing the right technology to (1) measure the metrics that matter and (2) enable two-way data sharing. With these two critical data flows in place, you'll have a comprehensive understanding of practice operations and can share critical metrics with key referral stakeholders. Instead of waiting to be told how each payer rates you, you can evaluate your own outcome data and use that information to make continuous strategic improvements.
Building Your Strategy
Your network-building strategy should focus on improving the operations metrics that matter in the eyes of payers and providers. Our expertise gives extra insight into the types of metrics that these stakeholders care about. Armed with this data, we work with you to establish the clinical pathways that maximize efficiency and revenue.
QPathways: Secure Referral Network Collaboration
TRIARQ Health's secure collaborative platform supports true longitudinal clinical integration.
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Dynamic inter-organizational collaboration through chat, tasking, and escalations
Flexible clinical pathways design supported by boundless connection to care teams
Data integration to collect valuable data from all relevant sources
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Robust Data & Analytics through the monitoring of key metrics, including provider dashboards, economic estimates, and outcomes reporting
Multi-modal engagement tools for patients and caregivers
At TRIARQ Health, we're committed to helping independent practices navigate today’s healthcare challenges, working to make them attractive to payors and referring providers, all while enabling sustainable growth for long-term success.
Want to know where you stand with providers and how the key components of your practice are impacting your referral network?
Find out with a Comprehensive Practice Assessment that includes a clear roadmap for optimizing your practice's operations, understanding the competitive market, and identifying growth opportunities such as value-based care models.