Network Advantage is a market intelligence tool powered by our approved license to access CMS’s full Medicare, Medicare Advantage, and Medicaid claims datasets – linked claims and encounters data for over 130 million beneficiaries with data updated on as frequently as a quarterly basis – that helps members evaluate and benchmark PCPs, specialists, and facilities across the US and build networks based on pre-selected and customizable performance metrics. By unlocking the power of publicly available claims datasets, CareJourney provides robust insights without the need for any member data.
Network Advantage: Build and Optimize Networks of Care
- Understand Market Penetration and Wallet Share: explore network affiliations, geographic concentrations of patient activity, and facility share of wallet trends. Identify potential providers to add to your existing or new network, based on your own criteria.
- Dive into CBSA-level Provider Benchmarks: benchmark physician/specialist, physician group, and health system across the country or specific region based on patient-centric metrics like cost efficiency and outcomes.
- Optimize Network Operations: understand utilization patterns, bundles performance, and track referral patterns to optimize your networks or to improve performance.