A Pulse on Healthcare Insights, Trends, and Hot Topics
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 [...]
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 [...]
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.
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. [...]
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 […]
Kidney Care Choices (KCC) is a voluntary alternative payment model built on top of the Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) model structure. The goal of the KCC model is to encourage nephrologists, dialysis facilities, and ESRD healthcare practices to [...]
According to the American Heart Association, more than 1.5 million people in the United States experience a heart attack or stroke each year, with heart disease and stroke consistently among the top causes of death and disability. This costs the US healthcare system over $350 billion annually. [...]
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. [...]
How to Make COVID-19 Information More Discoverable and Useful for the Public: A Guide to Website Markup
This document is a product of a collaboration between CareJourney and The Robert Wood Johnson Foundation and presents a description of the COVID-19 schema.org markup project as well as instructions for posting COVID-19 related information on public websites.