By the Numbers
Emergency department visits cost the healthcare system hundreds of billions annually, with a significant portion classified as avoidable. Nurse triage programs serve as a critical intervention point, helping members access appropriate care settings.
How Triage Works
When members call with symptoms, registered nurses use evidence-based protocols to assess urgency, recommend a care setting, and coordinate follow-up. The majority of callers can be safely directed to self-care, urgent care, or next-day provider visits.
The Downstream Effect
Beyond immediate cost avoidance, triage programs improve member satisfaction, reduce provider burden, and generate rich data that helps plans identify population health trends and intervention opportunities.