Improve referral management to reduce specialty utilization.
Referral management is perhaps the most important clinical imperative for capitated groups, but too many providers abdicate the role to non-clinical bureaucrats. Find out how to improve your referral management system, minimize unnecessary specialty care, and still maintain high quality and satisfaction.
D019985:Benchmarking; D002204:Capitation Fee; D006801:Humans; D007345:Insurance Claim Review; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D008511:Medicine; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D013038:Specialization; D014481:United States; D014600:Utilization Review