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Navigate the Complexities of ACO Strategy with Data-driven Insights

ACOs are simultaneously understanding their Performance Year (PY) 2023 performance, executing on their PY 2024 clinical strategy, as well as planning budgets, renewals, and strategies for PY 2025. With application deadlines, roster changes, and other decisions that impact PY 2025 looming, ACO leaders need to start planning for next year—without even fully understanding PY 2023 performance.

April 18th, 2024|Categories: Blog|0 Comments

On-demand Webinar: Specialty Care

Value-based care organizations spend a lot of time thinking about the PCP. But, what about the specialists accounting for ~40% of your total spend? Creating a specialist strategy is key to your success. Watch this session around high-performing specialist networks to learn more.

April 11th, 2024|Categories: Webinars|0 Comments

Switchboard Health and CareJourney Partner to Support the Transition to Value-based Specialty Care

Boise, ID—April 2, 2024—Switchboard Health, creator of a high-value specialty care network and software platform, and CareJourney, the market leader in provider cost and quality data, have partnered to deliver an integrated set of offerings to support value-based care providers and health plans. These offerings are improving specialty care navigation [...]

April 3rd, 2024|Categories: Press Release|0 Comments

How to Identify Patient Intervention Opportunities up to 5 Weeks Sooner With BCDA

BCDA offers adjudicated claims to model participants, but additionally offers partially adjudicated claims to ACO REACH entities, which allows for even quicker access to claims that enter Medicare’s system that have not yet been fully paid or processed by CMS. CareJourney dives deep into the nuances of BCDA claims, compares them with other common data feeds, and discusses the potential value across a handful of use cases.

March 25th, 2024|Categories: Blog|0 Comments

On-demand Webinar: APM Performance

Proactive VBOs are already preparing for 2025, leveraging critical data on potential markets, savings opportunities, and financial benchmarks to make smart financial and clinical decisions. Now is the time to prepare: are you participating in MSSP or ACO REACH? Which provider organizations will benefit your ACO? Which markets and patients should you focus on?

March 6th, 2024|Categories: Webinars|0 Comments

6 Ways Employers Can Prepare for their Expanded Role as Health Fiduciaries

Employers who self-fund their employee health insurance are in the midst of a shifting legal landscape that ultimately lays a larger burden on them to ensure the funds utilized for employee health insurance are being used wisely. This increased responsibility, which comes with potentially large legal and financial ramifications, might catch some employers by surprise.

February 29th, 2024|Categories: Blog|0 Comments

Syntax Health and CareJourney Announce Partnership to Scale Value-based Care

Atlanta, GA—February 26, 2024—Syntax Health, the first and only two-sided SaaS actuarial platform for value-based care (VBC) modeling and contracting, and CareJourney, the market leader in healthcare provider cost and quality data, have announced a data partnership designed to offer providers and payers significant supplemental data to model VBC opportunities and reach agreements.

February 26th, 2024|Categories: Press Release|0 Comments

What Drove Success for ACO REACH’s Highest Performing ACOs in 2022?

On October 23, CMS released the results and public use file for Global and Professional Direct Contracting (now known as ACO REACH)’s 2022 performance year. The program had 99 participating ACOs in 2022, of which 81 ACOs attained gross savings and 75 ACOs attained net savings (after applicable discounts, CMS shared savings, sequestration, and risk corridors).

January 23rd, 2024|Categories: Blog|0 Comments

8 Trends Among Top-Performing MSSP ACOs in 2022

A successful MSSP ACO requires a nuanced understanding of its providers, market, and patients. Armed with intelligence, these ACOs can grow into new markets, increase their quality performance, and continue to transform their care model. Learn what separates top performers from lower performers.

January 8th, 2024|Categories: Blog|0 Comments
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