We can help you:
- Estimate your attributed population and performance year benchmark for MSSP and ACO REACH programs.
- Model various scenarios to support participation decisions (MSSP vs REACH, risk track, attribution methodology, etc.).
- Find opportunities to optimize your network in advance of program deadlines to finalize your participant list.
- Calculate provider-level benchmarks to support network growth, contracting activities and/or sub-capitation agreements.
- Project your performance year results and assess regional efficiencies to anticipate shared savings/loss.
- Benchmark your ACO’s performance head-to-head with ACOs in your market.
- Understand how policy changes will impact your ACO.
80+ MSSPs, 50% of ACO REACH entities rely
on CareJourney solutions
Medicare Alternative Payment Model Expertise
We’ve helped dozens of Medicare ACOs to achieve success across CMS alternative payment
models. As one of the first organizations to help MSSP participants analyze and understand
their CCLF claims files, our understanding of the nuances of Medicare claims data is
unmatched, as is our understanding of the attribution methodologies underlying CMS alternative payment models.
Comprehensive Healthcare Data
Our access to the full Medicare FFS Part A, B, and D claims data represents more than 60 million linked and longitudinal lives. It supports a variety of value-based care models providing the historical foundation needed to support credible future utilization forecasts.
Proven Modeling Approach
Value-based contracts and models are complex. Accurately calculating projected attribution, benchmarks, and forecasted performance is critical to success. We’ve helped numerous value-based care organizations evaluate contracts and payment models via a standardized approach:
- Attribution – We replicate historical claims-based attribution/alignment methodologies to project your patient population.
- Model Benchmarks – We calculate performance year financial benchmarks.
- Supporting Reports – We deliver supporting analytic reports to help you identify providers to engage and patient needs to consider.
CareJourney has the most precise benchmarks in the market
“CareJourney has some of the most comprehensive datasets we’ve seen in the healthcare industry. Their work helps us get a competitive edge when it comes to planning and forecasting, one-off analytics, and managing and tracking the business.”
Principal & Actuary
Direct Contracting