Most health systems are focused on maximizing return on investment from their employed medical groups in response to rising margin pressures. As a result, network integrity is a top priority for most organizations. But our analysis shows that only 55% of referral revenue attributed to employed primary care physicians (PCPs) stays in-network.
There are three distinct leakage points in the referral process. Leaders must take a comprehensive approach that targets leakage at each of these three points. Read on for six tactics health systems can deploy to improve network integrity.
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