Facilitating In-Network Referrals Through par8o

Ensuring continuity of care requires providing more coordinated care for our patients and increasing our in-network referral rate. par8o helps us effectively and efficiently manage referrals and improve in-network referral rates.

This web-based referral management platform allows physicians to easily refer patients to providers who accept their insurance. It has also been designated as the main referral processing system for all Medicare Shared Savings patients.

In addition, par8o enables a deeper understanding of the health care markets Dignity Health serves by providing data that can strategically pinpoint areas where additional providers may be needed, enabling improved patient care and recruitment efforts.

par8o implementation began in 2017 and has gone live in:

  • Arizona Care Network (ACN)
  • Dignity Health Arizona Hospital and 10 associated emergency departments
  • Mercy Medical Group (MMG) in Sacramento
  • Santa Cruz Dignity Health Medical Network
  • St. Rose Quality Care Network in Las Vegas
  • Woodland Clinic Medical Group in Woodland

In early 2017, Arizona launched the par8o tool. They showed exponential growth in the number of referrals over the first three quarters of 2017. During that span, the in-network referral percentage averaged 78 percent and continued around 80 percent for the first three quarters of 2018.

During the launch year of 2017, the number of ACN sending providers increased by 30 percent, and the number of receiving providers almost doubled. Further, the total number of referrals sent in the first three quarters of 2018 turned out to be roughly 75 percent more than the number of referrals sent in the first three quarters of 2017.

Similar growth was seen in Mercy Medical Group (MMG), which went live in March 2018. In the first three quarters, MMG had exponential growth in the number of referrals. The in-network referral percentage averaged 87 percent for the three quarters, and the number of sending providers increased by over 30 percent.

The tool will be rolled out to the remaining CINs and Dignity Health markets by early FY20.