#1 Provider of Value-based Care Analytics

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CareJourney Drivers of VBC Success

Drivers of Value-based Care Success

As healthcare spending becomes unsustainable and fee-for-service models give way to advanced payment models, value-based care organizations (VBOs) must confidently and continually optimize their operations to best care for patients and stay in business.

A 9-year veteran in the value-based care industry, CareJourney helps 150+ innovative VBOs grow their entities, improve care quality, and reduce costs using the most robust, detailed, comprehensive claims dataset available.

Drivers of Value-based Care Success

CareJourney analytics are derived from Medicare, Medicaid, Medicare Advantage and Commercial claims data, unlocking insights on over 300 million beneficiaries and 2 million providers. With open and transparent methodologies, CareJourney’s 300+ episodes benchmarked make both care decisions and business decisions a no-brainer.

Organizations achieving success in this evolving landscape trust CareJourney insights to guide their strategy and operations across six specific areas that directly correlate with either increased revenue, cost reduction, or quality improvement.

Whitepaper: 6 Drivers of Success in Value-based Care

Strategic Areas of Focus for our VBC Members: Increase Revenue, Manage Cost & Quality

Optimize Participant Network

Optimize Participant Network

CareJourney’s 300+ episodes benchmarked on 2M+ providers across Medicare, Medicaid, MA, and Commercial populations allow you to select the highest-performing providers to add to your network to ensure long-term success and sustainability. Maximize your savings and quality potential with trusted provider performance data.

Maximize Beneficiary Enrollment

Balancing patient acquisition and retention is critical to consistently growing your ACO. CareJourney insights help you identify providers within your network who are actively expanding their patient base, as well as those who present an opportunity for stronger alignment.

Maximize Beneficiary Enrollment
Accurately Capture Risk

Accurately Capture Risk

Ensure care teams are accurately coding patients with multiple chronic conditions to ensure the ample budget needed to provide the best quality of care. Leverage market benchmark risk scores to confirm that your patients’ risk scores accurately reflect their care needs—and cost.

Improve PCP Performance

Deliver exceptional patient care while ensuring cost-effectiveness. Track and incentivize preventative care like AWV to avoid unnecessary downstream care, and unplanned, costly admissions. Monitor how well your providers are consistently offering these essential services and managing potential risks, across different populations.

Enhance Specialty Performance

The majority of patient costs are incurred in specialty care. CareJourney analytics help you understand the spend associated with specialists and acute care, so you can ensure patients are seeing the specialists most equipped to manage their specific needs.

Refine Post Acute Routing

A significant portion of your annual patients will require home health or SNF care. CareJourney analytics ensure you have a refined network of efficient post-acute providers who have a history of minimal readmissions and complications, timely discharges to home settings, and adhere to other quality measures specific to this care phase.

Refine Post Acute Routing

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