2017 ACO Results: A Summary of What Mattered Most
Last week, CMS published the 2017 performance year results for the Medicare Shared Savings Program (MSSP). It comes on the heels of a new proposed rule from CMS that is meant to drive more accountable care organizations (ACOs) to take on downside risk, something few ACOs have done in recent [...]
The new MSSP rule: the questions we should be asking
By Abbas Bader As most of you are already aware, CMS released a rule proposing changes to the Medicare Shared Savings Program earlier this month. By now, you have probably read several summaries of the key provisions of the rule, if not the full 607 pages of the rule itself. In [...]
Blue Button 2.0: A convening of tech leaders, CMS and the White House
By Edward Yurcisin As our President, Aneesh Chopra, often notes, there appears to be a “generational consensus” from leaders in Washington seeking to tap the expertise of the American people to solve big problems. This is exactly what happened on Monday August 13thwhen the White House Office of American Innovation and [...]
ACOs and Rural Healthcare
By Chris Lester and Sabrina Chugani Roughly 20 percent of the United States population lives in rural areas. Despite this, rural America faces a number of health-related challenges, some of which are structural, while some are related to regional differences in health and health care in this country. Compounding these [...]
Custom Patient Risk Groups and Interventions
By Vinith Annam Creating Patient Risk Groups In a previous blog post titled Harnessing Open Health Data & Methodologies to Serve Value-based Care Networks, CareJourney discussed Harvard T.H. Chan School of Public Health’s development of a publically available patient segmentation model which identifies a small percentage of Medicare beneficiaries who [...]
Making the Case for CCM
Our patient segmentation model finds that for MSSP populations across the country, most patients fall into the major complex chronic illness segment (to qualify for this segment, a patient must have two or more complex conditions or at least 6 non-complex conditions) and historically most of the day-to-day work providers were [...]
The Health Internet, a Decade in the Making, Gets a Shot in the Arm
By Aneesh Chopra, President and Co-Founder of CareJourney Earlier today, at the opening ceremonies for the largest health IT conference of the year, Jared Kushner made a surprise appearance committing, unequivocally, to a “whole of government” approach to ensure patients and their caregivers can connect their health data to any application that helps [...]
Benchmarking Provider Groups Using Clinically-Relevant Metrics
An ACO’s ability to communicate and measure a standard of excellence for its participating practice groups is a critical component in achieving annual shared savings and improving care quality for the beneficiaries the ACO serves. Comprehensive analytics and benchmarks with actionable takeaways are fundamental to this objective. To assist in [...]
ACO Winners and Losers
Last week, Medicare published its list of 2018 participants in the Medicare Shared Savings Program (MSSP) and the MSSP 2018 Fast Facts. Since its inception in 2012, the MSSP has grown from 220 Accountable Care Organizations (ACOs) with 3.2 million beneficiaries to 561 ACOs with 10.5 million beneficiaries. In light of the new [...]
Accountable Care Organization (ACO) 101
How to Measure CMS ACO Programs The Affordable Care Act established several programs administered through the Centers for Medicare and Medicaid Services (CMS), the aims of which were to incentivize and partner with providers to proactively coordinate patient care, maintain and improve the quality of [...]
Harnessing Open Health Data & Methodologies to Serve Value-based Care Networks
<< Return to Blog Home In December 2016, CareJourney launched the Insights Workbook—a monthly executive-level review of ACO performance, with actionable metrics and data visualizations to get to increased savings. Our analytic model is firmly rooted in the questions population health leaders seek to answer and [...]
A Guide to Fast Healthcare Interoperability Resources (FHIR)
FHIR is growing interest as the standard for easily and securely exchanging healthcare data. What is it and what does it means for healthcare providers? Below we answer some frequently asked questions: Q: What is driving innovation in healthcare? The way we are paying for healthcare in America is fundamentally [...]
Purpose Driven Design, Health Equity, and Bring Open Data to Life
<< Return to Blog Home Health Experience Refactored (HxRefactored) is a revolutionary conference co-hosted by health innovation event planner Health 2.0 and design agency Mad*Pow. This year's conference gathered more than 600 cross-disciplinary thinkers and professionals to discuss how to improve healthcare through better patient-centered design. [...]
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