Spend by Patient Risk Segment
Consistent with national research, the frail elderly population accounts for a disproportionate share of cost for our member ACOs
Sample Care Model Dashboard – Transitional Care Management
Drill into follow-up with TCM-eligible patients by TIN, facility and patient cohort
PMPY Insights and Exception Scanning
View PMPY by expenditure type with insight into year over year trends, outliers, and performance above or below benchmark – all at the doctor, practice, network and ACO level
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.
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
View each physician’s critical performance metrics as well as their high-cost, high-risk patients
Gain visibility into a patient’s necessary care compliance and component expenditure over time
Track key performance metrics annually, quarterly, and monthly at the ACO, network, TIN, and NPI levels across care models and utilization