#1 CMS Next Generation ACO improves network efficiency & patient retention with Cerner HealtheReferrals

Southwestern Health Resources (SWHR), a Texas-based clinically-integrated network (CIN) of nearly 5,000 physicians, collaborated with Cerner HealtheReferrals to proactively keep patient referrals within its CIN and standardize referral workflows. Within six months of implementing HealtheReferrals, the results have showcased improved retention. As a whole, the organization increased the number of patients who stayed in-network by approximately 29%, bringing in-network referral rates up to nearly 70%. In addition to this increase, the Centers for Medicare and Medicaid Services (CMS) recently announced SWHR as the top-performing Next Generation Accountable Care Organization (ACO) for the third consecutive year, generating $52 million in earned shared savings in 2019.

***The video for this session will no longer be available 15-minutes after the scheduled end time. You can visit the on-demand catalog after the conclusion of the event to view the session recording.

  • Date:Thursday, April 29
  • Time:1:35 PM - 1:50 PM
  • Session Type:Client HIT Talk
  • Content topics:Ambulatory, Clinicals, Clinician experience, Data and analytics, Enterprise operations/infrastructure, Intelligence, Physician, Population health management, Revenue cycle management, Specialties, Cloud
  • Client value driver:Marketplace strategy, Health outcomes, Financial stability
  • Learning objective 1:Describe Southwestern Health Resources' data and provider environment.
  • Learning objective 2:Assess how Cerner HealtheReferrals helped overcome obstacles across CIN.
  • Learning objective 3:Explore impact of 29% increase of in-network referral rates since implementing Cerner HealtheReferrals.
  • Target audience:Network management, Physician, Value-based care, Accountable care, Analytics, Business Analytics, Business development, Business intelligence, Clinical, Information technology, Managed care, Operations, Population health, Quality, Revenue cycle management
  • Challenge to solve:Advancing data and network strategies, Improving clinician efficiency and operational excellence, Getting the right data to the right place at the right time, Delivering a healthier bottom line, Enhancing consumer access and experience
  • Solutions:HealtheReferrals
  • Attendee type:Current client, Prospective client
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