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By Brooke LeVasseur, CEO of AristaMD

 

Cost of Referrals AristaMD eConsults

Within the shift from fee-for-service payment models to value-based care, it has become increasingly important for healthcare providers to focus on optimizing the referral process, referring patients to the right place at the right time. Health plans are missing out on critical programs to support this transition. In addition to increasing access to quality specialty care, eConsult platforms significantly decrease healthcare costs that stem from unnecessary referrals, chronic disease management, and high-risk patients.

Context into the overall cost of care.

National health expenditure growth is expected to average 5.5 percent annually over 2017-2026, according to a report published today as an “Ahead Of Print” by Health Affairs and authored by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Growth in national health spending is projected to be faster than projected growth in Gross Domestic Product (GDP) by 1.0 percentage point over 2017-2026. As a result, the report projects the health share of GDP to rise from 17.9% in 2016 to 19.7% by 2026.

eConsult Annual Spent Specialty Referrals

eConsults reduce health plan costs and deliver increased access to specialty care.

Adoption of eConsults is fast, simple, and immediately gives PCPs support in order to avoid unnecessary referrals.

“The immediate and tangible impact of eConsults for ConcertoHealth is the ability to avoid unnecessary referrals, while the long-term benefits include avoiding unnecessary admissions and readmissions.” Dr. Christopher Dodd, Chief Care Transformation Officer, ConcertoHealth

The Data is in: More than 70% of routine specialist referrals can be replaced by an eConsult. 

AristaMD eConsult Efficacy Visit Replacement & Influence on Care Plan

“Our intention is to be good stewards of our resources and to identify which of those resources help us to achieve quality measures (managing diabetes etc,) in a financially responsible way. We’ve realized that leveraging the AristaMD telehealth platform helped us bend the cost curve through significant avoidance of in-person specialty referrals.” Dr. Kevin Ronan, Sr. Quality Assurance Manager, Vista Community Clinics

With $0 upfront costs or implementation fees, you don’t need to create a new budget to run an eConsult program. You’re already paying for specialist visits.

How Much Specialist Referrals are Costing and How Much Could be Saved

eConsult Reduced Healthcare Cost of Care eConsults decrease specialist referrals by 70%, saving $3M in annual referral costs per 100K members

Within value-based care models, it has become increasingly important for healthcare providers to focus on optimizing the referral process, referring patients to the right place at the right time. Health plans are missing out on critical programs to support this transition. In addition to increasing access to quality specialty care, eConsult platforms significantly decrease healthcare costs that stem from unnecessary referrals, chronic disease management, and high-risk patients.

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