Drive CMS Reimbursement with StarWell
Increase your revenue by capturing more CMS reimbursement dollars through improved HEDIS measures and Star ratings.
Solution
StarWell allows payers and care navigators to schedule more preventive care appointments by driving through the last mile — improving compliance by 60% and driving more in-network visits — and captures the results back to the member’s PCP. Payers and providers get improved HEDIS measures and STAR ratings that drive higher CMS reimbursement rates and revenues.
How it Works
Care coordinators use Star well to find the right providers(s) and to make preventative care appointments for their members/patients ‘right then and there’ while on the phone.
StarWell sends a series of patient reminders to help increase patient compliance.
StarWell shares clinical data between providers via a HIPAA secure conduit, across all EMRs, ensuring the PCP is in the loop and the plan is informed of the visit status.
Care coordinators can be employed by the plan, by ReferWell, or any combination required.
StarWell Increases Your Revenue
Increase revenues by improving HEDIS measures and STAR ratings.
Reduce costs by increasing preventive screenings, saving downstream spend.
Improve revenue by improving efficiency and efficacy of outreach programs.
StarWell Preventive Care Categories
CRC Screenings
Diabetic Retinopathies
Mammograms
Annual Wellness Visits
Prenatal Care Visits
Benefits of StarWell
Increase CMS Reimbursements
StarWell, through technology and operational support, ensures the loop is closed in order to close more preventive care gaps, improving HEDIS scores.
Augment Internal Care Coordinators
ReferWell care coordinators offer a flexible staffing option; they can be deployed to augment your existing staff when needed.
Improve Preventive Care Compliance
Patient show rate dramatically increases when the appointment is booked ‘right then and there’ with an in-network doctor, at a convenient location and time.
Track and Resolve Patient Data
ReferWell helps capture the relevant appointment data for prior preventive care so the PCP can keep their patient records up to date.
Augment Care Coordinator Staffing
ReferWell care coordinators are multi-lingual and have experience in patient facing clinical settings. They are experts in educating members on the value of preventive care and addressing barriers members may face in seeking care. Our care coordinators are available to work nights and weekends, which increases the connect rate with members.
