CareJourney Blog2021-03-31T13:28:42-04:00


A Pulse on Healthcare Insights, Trends, and Hot Topics

03May, 2021

Profiling ACO Success: What Drives High Performance in the Medicare Shared Savings Program?

The Medicare Shared Savings Program (MSSP) is the largest value based care program from the Center for Medicare & Medicaid Services (CMS) to date. Since its inception in 2012, Accountable Care Organization (ACO) participation has doubled; providing care to over 10 million beneficiaries, generating $1.94 billion in total savings, and earning over $1.47 billion in shared savings in the latest 2019 performance year (PY).1 The purpose of this program is for ACOs to coordinate the following [...]

19Mar, 2021

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.

16Feb, 2021

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. [...]

03Feb, 2021

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 [...]

26Jan, 2021

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.

07Jan, 2021

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. [...]

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