Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
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 [...]
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.
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. [...]
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 […]
Everything You Need to Know about the Kidney Care Choices (KCC) Model
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 [...]
Million Hearts: Tracking Cardiovascular Risk to Improve Population Heart Health
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. [...]
Message from our partner, APG: CMS Adjustments to Innovation Center Models
Message from our partner, APG: CMS Adjustments to Innovation Center Models APG Webinar Recap Background The Centers for Medicare and Medicaid Services (CMS) announced adjustments to various Innovation Center models of care in due to the ongoing COVID-19 public health emergency. [...]
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. [...]
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.
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 [...]
