Opioid Epidemic, Part 2: The Pharmacy Impact

The US Opioid Crisis Continues to Grow. In our previous blog Opioid Epidemic, Part 1: The Prevalence of Opioid Use Disorder and Impact of Distressed Communities, we utilized Medicare Part D data (over 40 million enrolled beneficiaries) to highlight the growing prevalence rates across the board in the U.S. In short, the key findings were [...]

2020-08-05T10:41:50-04:00

On-Demand Webinar: The Personalized MA Era: Optimizing Supplemental Benefits for Chronically Ill Beneficiaries (SSBCI)

With its latest MA Call Letter, CMS finalized its approach for Medicare Advantage (MA) plans to tailor supplemental benefits for beneficiaries with chronic conditions, including the flexibility to offer a portfolio of non-primarily health-related services. CareJourney recently hosted a webinar that was moderated by our President, Aneesh Chopra, along with a panel of leading health care leaders [...]

2020-07-29T16:28:57-04:00

The Future of Value-Based Oncology: Oncology Care First (OCF)

The Centers for Medicare and Medicaid Services’ (CMS) recent COVID-19 changes to it’s Alternative Payment Models (APMs) present an opportunity for the oncology community. With the changes, CMS has given Oncology Care Model (OCM) practices the opportunity to “forgo upside and downside risk for performance periods” during the pandemic, to remove COVID-19 related episodes, and to elect into aggregate quality measures. [...]

2020-06-25T17:04:49-04:00

Understanding the Direct Contracting (DC) Payment Model

Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. Direct Contracting and Primary Care First are two of these models announced by CMS to help encourage providers […]

2020-08-19T10:52:48-04:00

An Exploration of the Primary Care First (PCF) Payment Model

Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. One of the payment models is the Primary Care First (PCF) Model which is a voluntary, five-year alternative payment model (APM) aimed at reducing Medicare spending via prevention of acute hospital utilization, improving doctor-patient [...]

2020-06-12T16:02:57-04:00
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