Iris Platform Solution:
NetworkFlow
Results:
+27%
Increase in preferred network referrals
+8M
Referral-related cost reduction
-51%
Decrease in admin time
Client Overview
A national leader in value-based primary care engaged Onpoint to bring greater consistency, control, and visibility to its specialty referral process. With a footprint spanning 10 states and more than 1,500 providers, the organization focuses on proactive, patient-centered care with a strong emphasis on prevention and care coordination.
The Challenge
The organization needed a partner with deep experience in value-based care and network performance. Despite their scale, they lacked a unified preferred specialist network and had little transparency into where referrals were being sent—or why.
Key issues included:
- No formal referral routing to highest-value specialists
- Limited referral analytics or visibility into referral patterns
- Manual workflows that varied by region or practice
- High administrative overhead
- Breakdowns in communication between PCPs and specialists
More importantly, there was no reliable mechanism for closing the loop—tracking consult completion, ensuring follow-up, or integrating notes back into the EMR. What they needed was both a system and a strategy.
The Solution
Onpoint deployed its NetworkFlow solution, designing and implementing a comprehensive referral management program that automated routine tasks while aligning each referral with strategic network goals.
Key features of the solution included:
- Automated referral routing to preferred providers based on quality, cost, insurance coverage, and geographic proximity
- Scheduling assistance for patients to reduce no-shows and improve access
- Provider reminders and consult note tracking to ensure completion and documentation back into the EMR
- Closed-loop referral communication, reducing dropped handoffs and follow-up ambiguity
- Custom referral reporting dashboards that provided visibility across the enterprise
- Streamlined administrative workflows, reducing manual tasks for clinical staff
The result wasn’t just better referrals—it was a smarter, leaner, and more coordinated system that aligned perfectly with value-based care objectives.
The Results
Improved network alignment, greater patient engagement, and far fewer referrals lost in the shuffle.
27% increase in Preferred Network referrals within 9 months
$8M+ in referral-related cost reduction in one of their largest southern markets
51% reduction in administrative time through automation and communication streamlining
