Referral Leakage Detection

What problem does it solve?

This Skill identifies and quantifies patient referral leakage, where referred patients seek services outside the health system's network, leading to significant revenue loss and care fragmentation.

Core Features & Use Cases

• Quantify Leakage: Measure revenue lost due to out-of-network referrals.
• Identify Drivers: Pinpoint reasons for leakage (access, geography, quality, etc.).
• Develop Strategies: Generate targeted plans to retain patients and revenue.
• Use Case: A hospital system can use this skill to discover that 30% of cardiology referrals are going to an external competitor due to longer wait times, and then implement strategies to improve in-network access.

Quick Start

Analyze referral data to identify and quantify leakage by specialty and geographic area.