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 We are pausing publication of The Daily Briefing out of respect for the tragic passing of Brian Thompson. We will resume publication of this daily newsletter in the coming days.

Mythbuster

Are employed PCPs more likely to refer within their health systems?

Many health system leaders think that employing primary care physicians (PCPs) will secure in-network referrals, but the data tells a different story. Find out why employed PCPs are only slightly more likely to refer in-network than out-of-network for specialty care, and discover the financial impact of referral leakage.
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Many health systems believe that employment secures primary care physician (PCP) referrals. However, PCP employment doesn’t guarantee network integrity. Our data analysis reveals that it’s a coin flip. PCPs are only slightly more likely to refer in-network than out-of-network for specialty care.

Only 55% of total referral revenue attributed to employed PCPs is realized in-network.1 Said another way, PCPs send 45% of their referral revenue to competitors. Taken together, this referral leakage costs $388M in annual revenue per system.


SPONSORED BY

INTENDED AUDIENCE
  • Hospitals and health systems
  • Physicians and medical groups

AFTER YOU READ THIS
  • You will learn whether employed PCPs are more likely to refer in-network.
  • You will understand the opportunity size from improving referral leakage.
  • You will begin to distinguish between what does and doesn't lead to network integrity.

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