Published Research
Accuracy of the Veterans Health Administration COVID-19 Index for predicting short-term mortality among cohort of academic medical center and Medicare patients
The Veterans Health Administration COVID-19 (VACO) Index predicts 30-day all-cause mortality in patients with COVID-19 using age, sex and pre-existing comorbidity diagnoses. The VACO Index was initially developed and validated in a nationwide cohort of US veterans—we now assess its accuracy in an academic medical centre and a nationwide US […]
How Has Medicare Spending Changed During the COVID-19 Pandemic?
Researchers at the Commonwealth Fund and CareJourney analyzed changes in monthly spending by the traditional Medicare program between January and October 2020. The new data show how traditional Medicare spending changed among selected beneficiary groups during the first year of the COVID-19 pandemic.
Association Between Outpatient Rehabilitation Therapy and Total Cost of Care for a Frail Elderly Population in a Medicare Accountable Care Organization
Frailty is a debilitating and increasingly costly condition in an elderly population equating to nearly $7.6 billion in Medicare spending in 2016. Understanding the burden of frailty and how to manage this population efficiently is of key importance in an accountable care organization. Using an operational, claims-derived definition of frailty, […]
Accuracy of the Veterans Health Administration COVID-19 (VACO) Index for predicting short-term mortality
This pre-print examines the performance of the VACO Index using data from Yale New Haven Hospital (YNHH) and national Medicare data overall, over time, and within important patient subgroups. This article is a preprint and has not been certified by peer review. It reports new medical research that has yet […]
The Risks Of Moving Health Care Delivery To The Internet
Of the numerous disruptions to health care delivery forced upon us by COVID-19, the push toward virtual care and remote work may be the longest lasting. But this new era is not without challenges. Downtime for the virtual meeting company “Zoom” on August 24—which, prior to COVID-19, would be a […]
The Dawn of Digital Medicine
Last January Stephen Klasko, chief executive of Jefferson Health, which runs hospitals in Philadelphia, chatted to a bank boss. The financier told him that 20 years ago health care and banking were the only industries yet to embrace the consumer and digital revolutions. “Now”, Mr Klasko recalls him adding, “you […]
Assessment of Year-to-Year Patient-Specific Comorbid Conditions Reported in the Medicare Chronic Conditions Data Warehouse
This cross-sectional study evaluates the persistence of chronic condition flags for 51 conditions over single-year and multiyear periods.
New Initiative Aims to Build a Model Open COVID-19 Patient Data Registry Network
The Robert Wood Johnson Foundation’s Health Data for Action program, managed by AcademyHealth, is supporting a collaboration between Health Care Cost Institute (HCCI), CareJourney, and a network of health systems to increase the availability of standardized, actionable information on COVID-19 impact and progression.
CareJourney partners with Microsoft Healthcare NeXT & Dartmouth Atlas on measuring risk of severe COVID-19
Healthaffairs.org recently published an article featuring the latest collaboration between Microsoft Healthcare NeXT and Dartmouth Atlas Project researchers aimed at measuring the risk of severe COVID-19 across regions of the U.S. CareJourney is a proud partner on this effort assisting with data and analysis to support parts of the report. [...]
Association of Declines in End-of-Life Health Care Costs With Fee-for-Service Enrollee Per Capita Expenditures
This cross-sectional study assesses the association between end-of-life health care costs and fee-for-service Medicare spending and examines whether expenditures attributed to decedents have changed over time.