Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
An Exploration of the Primary Care First (PCF) 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. One of the payment models is the Primary Care First (PCF) Model which is a voluntary, five-year alternative payment model (APM) aimed at reducing Medicare spending via prevention of acute hospital utilization, improving doctor-patient [...]
Integrating Medicaid Data: Understanding the Sociodemographic Metrics At Play
Last November, the Centers for Medicare & Medicaid Services (CMS) announced the release of Medicaid and Children Insurance Program (CHIP) data through its Transformed Medicaid Statistical Information System (T-MSIS) analytical files. This release marks a historic step in CMS's commitment towards increasing data transparency and enables healthcare professionals to identify waste, promote best practices, and optimize [...]
White Paper: ACOs and Age-Related Macular Degeneration (AMD)
Accountable care organizations (ACOs) attempt to lower the cost of health care for a defined population while improving the quality of care that population receives. Reducing the total cost of care requires ACOs to implement both payment reform and delivery reform—changing payment models to align incentives for high-value care and shifting treatment to use resources more effectively.
Impact of COVID-19 on Accountable Care Organizations Short-Term and Long-Term
The ongoing COVID-19 pandemic has shaken the healthcare industry dramatically. We all have loved ones affected by COVID-19 whether they are on the front-line fighting for us or they are patients trying to fight off the virus themselves. A significant focus has deservedly gone towards disease prevention and progression, but little time has been devoted to discussions around what the outlook looks like [...]
Understanding and Adapting to Regional Differences in High Need High Cost Patient Prevalence
With the move to value-based care, it is essential for healthcare organizations to be able to identify high need populations in their service areas and ensure that there are high performing primary care providers (PCPs) and specialists in those service areas to manage the care of these vulnerable patients. [...]
Responding to a (Digital) “Call to Action” on COVID-19
We greatly appreciate our heroic frontline healthcare workers who are delivering much needed care during this public health emergency. To assist in the national response to the current pandemic, CareJourney is responding to a “call to action” issued by our nation’s Chief Technology Officer (a role held by our President, Aneesh Chopra), [...]
On-Demand Webinar: Proceeding in Trust: Building a Model Payer-Provider Value Scorecard on Open Data
CareJourney recently partnered with Beckers Hospital Review to host a webinar highlighting how leading payers and providers are seeding joint operating committees with open access to beneficiary level information and benchmarks to monitor key measures, surface improvement opportunities, and to increase collaboration. The webinar explored some of these emerging practices in […]
Benchmarking ACO Network Utilization: Lessons Learned in Network Design and Performance
For organizations across the healthcare sector concerned with network building and management, utilization of the network among the attributed population is often a major area of focus. Whether from a provider or payer perspective, maintaining a high-performing network with high utilization allows organizations to more effectively manage the quality and cost of patient care. [...]
Entering the “Consumer-First” Delivery Reform Era
Today, ONC & CMS finalized landmark rules to ensure safe, secure, standardized access to health information. Having spent some time on these issues, I’m pleased to read this White House post that puts these rules in historical context, and celebrates the bipartisan nature of this important endeavor. [...]
On-Demand Webinar: APG and CareJourney’s Deep Dive On Data Analytics
Harnessing the power of your data is a key component in providing high-quality, efficient care and improving patient outcomes. But far too often, roadblocks—limited access to longitudinal patient data, lack of reliable tools, and slow and ineffective provider benchmarking—stand between you and success in risk-based contracts. Listen to our webinar recording [...]
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