Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
Network Management Guide for ACOs
CareJourney's Provider Performance Index is a comprehensive, explainable, and reliable way to evaluate cost effectiveness and outcomes across PCPs, specialists, and practice groups.
Network Management Guide for Health Systems
Learn how to compare provider or practice group cost effectiveness and clinical quality performance against peer health systems by downloading the guide.
Network Management Guide for Payers
This guide presents quick tips on implementing network selection, management, and optimization using the CareJourney Index Cost and Outcome Scores.
On-Demand Webinar: APG and CareJourney’s Deep Dive Into Direct Contracting
Deep Dive Into Direct Contracting What every organization considering DCE must know! If you are an organization that is either already a Direct Contracting Entity (DCE) or planning to apply for a January 2022 start date, this is a must-see webinar for you to take a closer look at the key decision points that you will need to consider before going forward. [...]
Microsoft’s Precision Population Health Group Publishes Comparison of Fee-For-Service and Medicare Advantage Rates Using CareJourney Data
Microsoft’s Precision Population Health Group Publishes Comparison of Fee-For-Service and Medicare Advantage Rates Using CareJourney Data Despite over a decade of progress made in advancing value-based care, healthcare utilization variation has persisted and remains a major challenge across the country. Higher healthcare spending has not resulted in better [...]
Regional Differences in Ambulance-Sourced Avoidable ED Rates: Assessing Key Markets for the ET3 Model
In an effort to increase the quality of care for patients and reduce avoidable transports to the ED, the Center for Medicare and Medicaid Innovation (CMMI) developed an innovative payment model called Emergency Triage, Treat, and Transport, or ET3 for short. This model really looks to redefine emergency ground ambulance services, who until this model would only be paid by Medicare when transporting patients to approved facilities including hospitals (EDs), even if this was not the most appropriate care setting for the patient’s need.
White Paper: Strategies for Success in Value-based Care: A Collection of Real-world Case Studies
Whether you’re making decisions about which providers to include in a network, seeking to improve cost and quality for that network, or trying to make evidence-based care decisions, there’s a clear need for access to a reliable and comprehensive data analytics and decision support system.
Medicare Data Reveal Actionable Quality–Cost Gaps in Care for Elders with Disability
CareJourney and Altarum have partnered in developing a breakthrough approach in measuring care for patients with physical and cognitive disabilities, focusing on adults aged 65 and older. In our analysis of 2018 medicare FFS claims data, we identified 6.7 million traditional Medicare patients who required long-term services and supports (LTSS) and had assessments that document these conditions. [...]
Is the CMS Geographic Direct Contracting Model Right For You?
On December 3, 2020, Centers for Medicare & Medicaid Services (CMS) officially announced the release of the Geographic Direct Contracting Model (Geo), a highly anticipated option introduced at the outset of the Direct Contracting program, but subject to additional requests for information. We share industry enthusiasm for the model and appreciate the detailed approach on alignment and clarification on additional benefits. [...]
Blue Button 2.0: Everything You Need to Know and More!
Blue Button 2.0: Everything You Need to Know and More! Joe Mercado Request Meeting Overview & Brief History of Blue Button Blue Button is an initiative established by the Centers for Medicare & Medicaid Services (CMS) and the Veteran’s Administration (VA) [...]
