OVERLAND PARK, Kansas—WellSky has announced new artificial intelligence (AI)-powered referral management workflows aimed at helping home health and hospice providers centralize intake, manage referral complexity and efficiently process growing volumes of patient referrals.
Home health and hospice providers are under increasing pressure as demand rises and intake teams struggle to keep pace. WellSky’s newest AI-powered workflows, delivered through the WellSky Enterprise Referral Manager solution, are designed to address these challenges by automating early referral assessment and prioritization. The new capabilities are powered by WellSky SkySense AI, a suite of AI capabilities built to improve efficiency and decision-making across care delivery.
Using configurable criteria, the platform assigns each inbound referral a quality score that highlights completeness and alignment with intake requirements. Referrals can then be automatically accepted, declined or routed for further review, with human oversight embedded throughout the process. AI-powered data extraction then further accelerates intake by summarizing key referral information, such as anticipated services and specialty needs, for clinician review.
“Effective referral management is critical to ensuring timely access to care,” said Bill Miller, chairman and chief executive officer at WellSky. “We’re building platforms like WellSky Enterprise Referral Manager to support the scale and complexity of the largest health care providers in the nation. By applying AI to one of the most constrained points in care delivery, we’re helping providers act faster, scale responsibly and better support patients and clinicians.”