How CareJourney Helped PraxisCare Achieve Success in Risk-based Programs
PraxisCare has expanded across the Northwest to include six medical groups, representing about 70 clinics, and supporting approximately 24K Medicare beneficiaries.
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Challenges
With their move towards value and risk-based models, PraxisCare understood that having access to comprehensive and trusted data on their markets, patients, and providers was central to developing the right strategies for success. To help them make intelligent, data-driven decisions, they were looking for an analytics partner to help them:
- Validate their ability to succeed by modeling potential new medical practice performance and stratifying their attributed patient population
- Identify the high-performing providers required under value-based care programs
- Manage the population health strategies they knew were required for patient care coordination
How CareJourney Helped
PraxisCare uses the CareJourney platform to assess their actively enrolled beneficiaries. The platform ingests their population claims data to provide an analysis of the current claims files, deep utilization trends, and risk stratification to help drive population health and care management strategies. These patient level insights help PraxisCare more easily identify the frail elderly, high-risk or high-spend patients that could benefit from more intensive care coordination. It also profiles three claims-based quality metrics, all-conditions readmissions, timely follow-up and unplanned admissions, arming them with insights to help in the preparation of annual health equity plans.
Additionally, CareJourney delivers individual provider performance insights, based on its access to full Medicare FFS claims data, including cost and quality measures, which have been instrumental for PraxisCare in identifying the high-performing providers to approach for partnership conversations.
Impact
With CareJourney’s support, PraxisCare successfully transitioned from a participant in CPC+ into leading a network of independent medical groups operating as their own ACO.
The partnership with CareJourney allowed PraxisCare to have confidence in succeeding under ACO REACH and helped them both retain and grow their network of participating medical groups. PraxisCare was able to achieve 100% retention of partner groups as they migrated from DCE into ACO REACH. They also were able to effectively recruit a major health system partner in the Pacific Northwest using CareJourney’s ability to model outcomes on provider volume and financial metrics.
24,000+
Medicare Beneficiaries
“CareJourney has been an invaluable partner for PraxisCare as we have transitioned into increasingly complex programs and assumed greater risk. They offer amazing insights which strengthen our population health efforts and add confidence in growing our network with other high performing independently minded practices. We could not have made this jump without their expert team and actionable data insights.
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Mike Olson |