A Pulse on Healthcare Insights, Trends, and Hot Topics
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.
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 [...]
On-Demand Webinar: Data Sharing in the Spotlight: COVID Gaps, New Interoperability Rule and the Path Forward
In partnership with Health Level Seven and our partner, CitusTech, we hosted a webinar to share insights on data sharing, COVID Gaps, CMS & ONC's new Interoperability rules. [...]
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 [...]
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.
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 [...]
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. [...]