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6 ways to reduce referral leakage from primary to specialty care

In the highly competitive healthcare landscape, preventing referral leakage is crucial for health systems to maintain network integrity and capture revenue. Discover six tactics to effectively manage referral leakage from primary to specialty care and ensure that referrals stay within your network.
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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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AFTER YOU READ THIS
  • You will know the three referral leakage points from primary to specialty care.
  • You will understand 6 tactics health systems can deploy to address referral leakage.

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