Provider organizations are facing pressure to improve quality while simultaneously cutting cost. Referral management can support both often competing goals by helping keep patients in-network (improving fee-for-service utilization) and enabling providers to manage care quality (supporting value-based outcomes).

A lack of tools and technology capabilities can force providers and staff to make referral decisions based on personal relationships, and the loop between referring and referred providers is often not closed.

In this playbook, explore guidelines that can help position referral networks to be more data-driven and connected across employed and affiliated providers.