CareJourney is trusted by leaders and innovators in the payer, provider, and pharmaceutical industries, including numerous Fortune 500 organizations, to provide clinically-relevant insights across patients, providers, facilities, and networks with the goal of uncovering opportunities for better health outcomes.
Bringing Value-Based Care to Life
CareJourney helps Provider, Payer and Pharma market leaders make smarter decisions in the move to value.
The CareJourney Solution
The CareJourney Platform Delivers Clinically-Relevant Analytics
CareJourney provides clinically-relevant analytics across a longitudinal view of patients to evaluate care network performance and population outcomes. Leveraging a growing library of open and customizable models, we identify patient populations of greatest need and cost, align them with the most relevant care plans and networks, and track adherence over time for use in evaluating the impact of providers, facilities, and medications on outcomes.
The CareJourney Approach
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Actionable Insights |
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Clinically-Relevant |
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No Black Boxes |
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ROI Focused |
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Member Driven |
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60 Days to Success |
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Tap into CMS’s Nationwide Claims Enclave for Robust Insights
CareJourney has unique access to run analytics on the entire Medicare FFS and Medicare Advantage Population.
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Data
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Data Science
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Use Cases
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CareJourney Serves a Variety of Markets
Providers
Key Features
- Care Model Performance
- Risk Segmentation
- Network Referral and Keepage Patterns
- Savings Opportunities and Exception Scanning
- Actionable Work Lists
Learn more: Network Advantage and Population Insights
Payers
Key Features
- Provider and Facility Scorecards
- Regional and National Benchmarks
- Network Design Optimization
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Network Utilization and Quality Management
Learn more: Network Advantage
Pharma
Key Features
- Condition-based Population Sizing
- Patient Cohort Journeys and Outcomes
- Real-World Evidence Reporting
- Go-to Market Research
Industry Partnerships
CareJourney and The Robert Wood Johnson Foundation Form Partnership
CareJourney, a leading provider of clinically-relevant analytics for value-based networks, is excited to participate in the Robert Wood Johnson Foundation’s Health Data for Action program. This program aims to reduce the barriers often faced in accessing data by serving as a conduit between data owners, of which we are a named participating owner, and interested researchers.
America’s Physician Groups Launches New Task Force Aimed at Developing Future Advanced Alternative Payment Models
The America’s Physician Groups (APG) formed the Risk Evolution Task Force, a learning collaborative dedicated to accelerating the volume to value movement and supporting the development of the next iteration of the Advanced Alternative Payment Models (Advanced APMs). CareJourney will provide ACO-level benchmarks defined by the Task Force and derived from its Innovator access to CMS’s national dataset.
CareJourney Supports Harvard ACO Research Collaborative
A Research Collaborative Between ACOs, the Harvard T.H. Chan School of Public Health, and CareJourney to apply Harvard’s High-Need/High-Cost Patient Segmentation Framework in real-world clinical settings, refine it, and improve it to ensure we can drive meaningful changes in the care for HN/HC patients.
CareJourney Participates in the CARIN Alliance to Support Interoperability Transformation
The CARIN Alliance is a bipartisan, multi-sector collaborative whose vision is to rapidly advance the ability for consumers and their caregivers to easily get, use and share their digital health information. The CARIN Alliance works collaboratively to advance the consumer directed exchange of health information. Working groups at the CARIN Alliance seek to reduce the technical and adoption barriers to the exchange of consumer-directed health information by promoting best practices of FHIR-based API implementations. Additionally, the CARIN Alliance develops policy recommendations for healthcare interoperability to help inform HHS, ONC, OCR, FTC and other regulators.
CareJourney Supports the Argonaut Project to Advance Interoperability Adoption
The Argonaut Project is an initiative to advance industry adoption of modern, open interoperability standards by creating consistent data standards for the FHIR (Fast Healthcare Interoperability Resources) API specifications. Working collaboratively with the industry and other FHIR initiatives, the Argonaut Project has designed standardized implementation guides that increase adoption and promote innovation by focusing on high value use cases. This effort has accelerated the adoption of FHIR.