WellSky has introduced new AI-powered referral management workflows designed to help home health and hospice providers streamline intake, handle complex referrals, and efficiently manage increasing patient volumes amid workforce shortages and incomplete data challenges nationwide. The new tools aim to centralize referral operations and improve access to post-acute care by automating early assessment and prioritization of incoming referrals. Bill Miller, Chairman and Chief Executive Officer at WellSky, stated that applying AI to one of the most constrained points in care delivery allows providers to act more quickly, scale responsibly, and better support both patients and clinicians.
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Home health and hospice organizations are under growing pressure as demand increases and intake teams struggle to keep pace with referrals. WellSky’s AI capabilities, delivered through the WellSky Enterprise Referral Manager solution and powered by the SkySense AI suite, provide configurable criteria to assign quality scores to each referral based on completeness and alignment with intake requirements. Referrals can be automatically accepted, declined, or routed for further review, while human oversight remains an integral part of the process. AI-powered data extraction also accelerates intake by summarizing key information such as anticipated services and specialty needs for clinician review, reducing manual work and improving decision-making speed.
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Organizations using the WellSky Enterprise Referral Manager solution have reported measurable improvements in their referral operations. One home health provider doubled its referral conversion rate in a single year, increasing from 20.7 percent to 44.8 percent, as intake teams gained immediate access to the information needed to make qualified decisions. The same organization also processed 38 percent more referrals using the same staff coverage, allowing clinical teams to focus more resources on direct patient care rather than administrative tasks.
Bill Miller emphasized the importance of effective referral management in ensuring timely access to care. He noted that WellSky is building platforms capable of supporting the scale and complexity faced by the nation’s largest healthcare providers. According to Miller, integrating AI into referral workflows not only improves efficiency but also enables providers to deliver better care by reducing bottlenecks, enhancing operational decision-making, and allowing clinical teams to concentrate on patient outcomes.
This launch demonstrates WellSky’s commitment to combining AI innovation with practical solutions for post-acute care providers, ensuring that patients receive timely and coordinated services while providers optimize their operational capacity.
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