Referral activity can show access, but incomplete scheduling signals can misstate it.
Payer confidence requires a clear measure of real appointments, while clinicians need context preserved when a referral does not convert.
Who you’d be doing this for
“My compliance team keeps asking who actually got seen, and I’m still stitching answers together.”
Hilde Petersen · Behavioral Health Network Executive
Leads network adequacy and behavioral health access reporting for a health plan using the clinician network.
What is at stake
Payer reporting cannot yet show whether referred members reached a first appointment. You must weigh a usable access measure against the risk of treating incomplete scheduling data as proof.
Why it isn’t already fixed
Every obvious fix costs something else. That’s the part you’d have to decide.
- payer-ready access evidence vs incomplete scheduling signals
- simple reporting vs explainable uncertainty
- network accountability vs provider context
- fast pilot scope vs durable data lineage
Why Headway
The credentialed outpatient clinician network is judged on whether members reach care, not only on how many clinicians appear in a directory.
Written with these in mind
Not your kind of problem? 75 more at Headway, or browse every organization.
This is the setup. The work is inside.
Running it puts you in the room: the full situation and its constraints, stakeholders who push back in their own words, and the decisions that are yours to make. What you produce becomes a Day One Plan — work you can show someone instead of describing.