The Value Based Reimbursement Model encourages healthcare providers to deliver the enhanced care. The reimbursement model which has emerged as an alternative to fee-for-service model, ties payments for quality of care provided and rewards the providers for both efficiency and effectiveness.
With the continuous efforts of the government on healthcare reforms, providers are challenged to increase their revenue opportunities while delivering continuous care, with no scope for compromise on the quality of care offered by them.
Medical referrals are made to ensure that patients receive the right type of care from a right specialist who can cater to the needs of the specific conditions of the patients.
Once the referral is made, the providers have no access to know whether the patient had visited the referred specialist or not unless the information is communicated to them either by the patient or by the specialist.
In the US, it is found that more than a third of the patients are referred to a specialist every year and approximately 20 to 40 percent of patients who receive referrals never complete them often leading to lack of care continuity.
The term referral leakage is used to describe a scenario where the primary care physician refers patients to providers outside their system rather than staying within their network. When referral leakage occurs, the providers lose the ability to manage their patient care and revenue. Referral leakage affects the revenue opportunity of the providers and continues to be a huge challenge for the healthcare systems across the nation.
As patients are undergoing transition in various care settings, providers have started realizing the value of revenue losses due to referral leakage and started focusing on strategies that help them manage referrals effectively.
A referral management system helps the providers keep track of their patient referrals throughout the care continuum. The management of patient referrals helps the providers to improve the quality of care, enhance patient engagement and increase the patient volume which often helps maximize the revenue of the providers.
RippleCare provides a highly secure platform for patient engagement where it allows healthcare providers, physicians and downstream providers to monitor, engage and collaborate along the patient continuum of care.
Our platform is specialty driven, meaning, it comes with a pre-defined customization that is required to establish the workflow of any specialty be it Orthopedic or Oncology etc.
When patients sign up, our platform assists them start preparing for the upcoming visit by providing them with a proper plan for home assessment, food consumption and exercise instructions which ensures that the patients are well prepared at their best.
With the help of RippleCare, one can create customized care plans to monitor patients progress, pain level indication and gather feedback throughout the care journey.
RippleCare strengthens the belief that patient education plays a major role in the recovery of the patient, sending customized assessment and education videos directly to the patients and family members to induce informed decisions and ensuring that care continuity is steady throughout the patient journey.