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

Blog

A Pulse on Healthcare Insights, Trends, and Hot Topics

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. [...]

12May, 2020

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 [...]

27Apr, 2020

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 [...]

17Apr, 2020

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.

10Apr, 2020

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 [...]

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