CareJourney ACO Insights 2018-07-31T19:06:07+00:00

CareJourney – The Industry’s Leading Analytic Workbench for CMOs

CareJourney – The Industry’s Leading Analytic Workbench for CMOs

With interactive dashboards tracking care model compliance and ROI by patient segment, “bottoms-up” views of PMPY trends, post-acute performance, network leakage, and much more available at the doctor, facility, and patient-level, Insights Online focuses on actionable, clinically-relevant insights to improve quality and reduce cost.

Spend by Patient Risk Segment

Consistent with national research, the frail elderly population accounts for a disproportionate share of cost for our member ACOs

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Sample Care Model Dashboard – Transitional Care Management

Drill into follow-up with TCM-eligible patients by TIN, facility and patient cohort

PMPY Overview

View PMPY by expenditure type with insight into year over year trends at the ACO, network, TIN, and NPI levels

Component Overview

Dive deeper into component-specific PMPY and relevant KPIs

Avoidable Emergency

CareJourney tracks potentially avoidable ED visits using a modified version of the NYU algorithm based on research by Harvard Professor Ashish Jha; examine overall trends in ED visits and investigate at the TIN or NPI level.

Impactable Admissions

CareJourney has implemented the logic for AHRQ’s PQI measures, allowing users to track preventable spending and admissions.

Network Utilization Dashboard

Segment spend by in- and out-of-network providers to track leakage and identify gaps in coverage

Sample Profile List – Facilities

View key performance metrics from claims and open data on every facility which treats attributed patients

Skilled Nursing Facility Profile List

Physician Scorecard

View each physician’s critical performance metrics as well as their high-cost, high-risk patients

Physician Scorecard

Patient Profile

Gain visibility into a patient’s necessary care compliance and component expenditure over time

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Operational Dashboard

Track key performance metrics annually, quarterly, and monthly at the ACO, network, TIN, and NPI levels across care models and utilization

Data is for illustrative purposes only and does not represent real ACOs, provider groups, facilities, physicians, or patients.

Create Meaningful Risk Segments

Spend by Patient Risk Segment

Consistent with national research, the frail elderly population accounts for a disproportionate share of cost for our member ACOs

Track and Measure High-ROI Care Models

Sample Care Model Dashboard – Transitional Care Management

Drill into follow-up with TCM-eligible patients by TIN, facility and patient cohort

Manage Utilization and Spend

Operational Dashboard

Track key performance metrics annually, quarterly, and monthly at the ACO, network, TIN, and NPI levels across care models and utilization

PMPY Overview

View PMPY by expenditure type with insight into year over year trends at the ACO, network, TIN, and NPI levels

PMPY Overview

Component Overview

Dive deeper into component-specific PMPY and relevant KPIs

Component Overview

Build and Harness Your Network

Network Utilization Dashboard

Segment spend by in- and out-of-network providers to track leakage and identify gaps in coverage

Build and Harness Your Network

Network Utilization Dashboard

Segment spend by in- and out-of-network providers to track leakage and identify gaps in coverage

Drive Change with Actionable Lists

Sample Profile List

View key performance metrics from claims and open data on every facility which treats attributed patients

Physician Scorecard

View each physician’s critical performance metrics as well as their high-cost, high-risk patients

Physician Scorecard

Patient Profile

Gain visibility into a patient’s necessary care compliance and component expenditure over time

With interactive dashboards tracking care model compliance and ROI by patient segment, “bottoms-up” views of PMPY trends, post-acute performance, network leakage, and much more available at the doctor, facility, and patient-level, CareJourney focuses on actionable, clinically-relevant insights to improve quality and reduce cost.

Competitor Comparison

Comparison Table

Interested in Learning More?

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