Prominence Health Plan Leverages LeadingReach for Referral Management and Patient Care Coordination
Prominence Health Plan
08/14/2023
RENO, NV (Aug. 3, 2023) — Prominence Health Plan is pleased to announce its partnership with LeadingReach, healthcare’s connected referral network and technology platform. By using LeadingReach as the foundation of its referral management efforts, Prominence Health Plan furthers its commitment to connect medical providers, specialists, and care coordinators to deliver high-quality care and improve the patient experience.
Prominence Health Plan’s ability to identify cost drivers across the healthcare continuum, then create innovative solutions to standardize care, increase efficiencies, and achieve quality outcomes is critical to their success. For example, since 2014, the Accountable Care Organizations (ACO) of Universal Health Services have generated nearly $400 million in savings to Medicare.
“Through LeadingReach’s platform, we have created data-driven analytics around specialist performance to build value-based Medical Neighborhoods,” said Kamal Jemmoua, CEO, Prominence Health Plan. “We are excited for the opportunity to coordinate high-quality care for the patients in our communities.”
Notable successes of Prominence Health Plan’s partnership with LeadingReach include:
- Pilot model with South Texas Clinical Partners ACO.
- Providing our participating primary care providers with unprecedented data insights into specialist access times, referral response times, and clinical consult notes.
- Increasing the utilization of the LeadingReach platform from less than 10% of specialists to over 50% of specialists across the South Texas region.
- Delivering 70+% of total referrals digitally through the LeadingReach Network to specialists.
- Reducing specialist appointment wait times by nearly one week for engaged specialists.
- Sending more than 4,000 referrals per month.
LeadingReach connects and supports high performing healthcare networks for value-based care organizations via the LeadingReach Network, a nationwide connected provider community of more than 40,000 organizations aimed at improving the experience of both the staff and patient during a transition of care. Additionally, the care coordination platform includes a custom suite of software and services creating a comprehensive referral management solution for both senders and receivers regardless of whether they are aligned with a value based or a fee-for-service model.
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About Prominence Health Plan
Prominence Health Plan began in 1993 as a health maintenance organization (HMO) and became a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health Plan provides coverage to Commercial (fully insured and self-funded), and Medicare Advantage members throughout Nevada and parts of Texas and Florida.
Prominence operates eight Accountable Care Organizations (ACOs) in California, Florida, Nevada, South Carolina, Texas, and Washington D.C., which are managed care systems that benefit communities by providing coordinated, high-quality care to Medicare patients. For more information about Prominence Health, visit ProminenceHealthPlan.com or ProminenceMedicare.com.
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 94,000 employees. Through its subsidiaries, UHS operates 27 acute care hospitals, 331 behavioral health facilities, 39 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhsinc.com
About LeadingReach
Founded in 2014,LeadingReach believes in creating better patient and staff experiences through a connected community of more than 40,000 healthcare organizations committed to a more transparent and accountable care coordination process. LeadingReach’s provides a unique blend of software and services giving organizations the most comprehensive care coordination solution tailored to their specific needs. Learn more at www.leadingreach.com.