CareJourney Blog2020-05-13T10:09:16-04:00

Blog

A Pulse on Healthcare Insights, Trends, and Hot Topics

05Aug, 2020

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 [...]

28Jul, 2020

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 [...]

08Jul, 2020

White Paper: CareJourney Provider Performance Index

Whether you’re making decisions about which providers to include in a network, seeking to improve cost and quality in that network, striving to improve one’s practice, or choosing providers for your own health care, there’s a clear need for a data-driven provider evaluation toolset.

25Jun, 2020

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. [...]

12Jun, 2020

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 […]

21May, 2020

Medication Adherence as a Path to Unlock Savings Opportunities

In a post COVID-19 world, it’s more critical than ever for health plans to gain market share as well as decrease costs associated with poor outcomes. By achieving the 5 star rating in the Star Rating Program, Medicare Advantage prescription drug plans and stand-alone prescription drug plans are able to enroll members throughout the calendar year compared to those plans who are only allowed to enroll members through open enrollment. [...]

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