Based on the successful results of the pilot, CHCN expanded the eConsult service to all 500 PCPs in the network. RubiconMD charges CHCN a per-patient rate based on all the patients assigned to receive care at CHCN clinics, and PCPs may use the service as often as they wish. (The cost of the service represents less than 0.5% of CHCN’s budget for specialty services.)
Currently, CHCN providers submit an average of 100 to 125 eConsult requests per week, with dermatology being the most-requested specialty. Adoption varies widely among PCPs, and CHCN is currently focusing on accelerating adoption through a deeper integration of RubiconMD into its electronic health record system.