Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
Quantifying 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) [...]
Telehealth Expansion in Medicare: Policy Changes, Recent Trends in Adoption, and Future Impact
For countless individuals across the United States and the world, the outbreak of the COVID-19 pandemic prompted a rapid shift to digital life. In the healthcare industry, the sudden need to reduce patient travel and exposure while preserving provider capacity resulted in an unprecedented increase in the adoption of telemedicine. [...]
The Era of Health Information Fiduciaries:
Building on Health IT Regulation to Optimize Patient Navigation
Aneesh Chopra, CareJourney President, recently presented a session at the HLTH 2020 Virtual Conference about the Era of Health Information Fiduciaries – how entrepreneurs and innovators can build on health IT regulations to optimize patient navigation. [...]
On-Demand Webinar: What You Can Learn From VA-DOE’s COVID-19 Mortality Risk Model and the Emerging Trends Like Telehealth
On-Demand Webinar: What You Can Learn From VA-DOE’s COVID-19 Mortality Risk Model and the Emerging Trends Like Telehealth Webinar Recap COVID-19 has highlighted why access to timely and actionable public health data is critical for making quick, life-saving healthcare decisions. Which [...]
Social Determinants of Health: The Unaddressed Variable Accounting for 80% of Health Outcomes
Although research has shown that a person’s health outcome is closely related to the social and environmental backgrounds they live and interact with, questions around how social factors impact health outcomes have never received copious attention until the country was struck by the COVID-19 pandemic. [...]
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 [...]
