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Points of Light 2025 Case Study 6
Streamlining Referrals Through an API-Driven Provider Directory
Author
Boyd Stewart
Author
Aurene Wilford
A cumbersome workflow and insufficient data access were preventing Pikeville Medical Center’s clinicians from referring patients to high-quality, in-network specialists. To improve care quality, increase referral efficiency, and comply with CMS regulations, Humana partnered with Epic to create an API-driven provider directory, which they piloted at Pikeville Medical. Outcomes include enhanced referral accuracy, reduced administrative burden, and improved patient engagement and health outcomes.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved Through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Replicate?
- What's Next?—Vision for the Future
Writer
Natalie Hopkins
Designer
Jess Wallace-Simpson
Project Manager
Joel Sanchez
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2025 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.