Refer within LHP to improve coordination of care and maximize performance
As Legacy Health Partners (LHP) works to grow covered lives and strengthen the network, one of our greatest areas of opportunity is increasing the number of referrals kept within the network. Referring patients to network colleagues allows for better care coordination and helps ensure that we are meeting our clinical integration quality measures and financial targets. In 2018, we did not achieve shared savings in any of our payor contracts. Referring within LHP is one of the key actions members can take to help the network achieve shared savings in the future.
From our meetings with payor partners and our own data, we know that some high-dollar procedures done at Legacy hospitals are lower cost as compared to other local hospitals. When a patient gets an elective inpatient procedure at a non-network facility, there is a greater “withdrawal” from the total cost of care, leaving less available to come back to the network as shared savings.
When patients receive care in-network, their outcomes and experience can be more effectively managed. LHP’s clinical integration program has included an in-network coordination measure assessing emergency room visits and inpatient admissions since 2016. This measure may be expanded to include outpatient services in the future.
Moreover, the Legacy Health Partners network is strong both in terms of its breadth and the quality and performance of our provider members. Referring within LHP is one of the ways that members can leverage its strength and collaborate with high performing colleagues for the benefit of patients.
Help for referring within the network
- An updated LHP member directory is available here on the LHP team site. If you have any questions about the directory, are having difficulty accessing it, or would like a printed copy, talk to your field operations adviser.
- For providers using Legacy’s instance of Epic, LHP providers are now identified as such on the master preference list to make them more visible.
- A new report that allows primary care practices to see where their patients are being seen, both in and out of the network, will be available soon.
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