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Medication Adherence as a Path to Unlock Savings Opportunities

In a post COVID-19 world, it’s more critical than ever for health plans to gain market share as well as decrease costs associated with poor outcomes. By achieving the 5 star rating in the Star Rating Program, Medicare Advantage prescription drug plans and stand-alone prescription drug plans are able to enroll members throughout the calendar year compared to those plans who are only allowed to enroll members through open enrollment. [...]

May 21st, 2020|Categories: Blog, COVID-19, JumpStart Offer|

COVID Schema Playbook

How to Make COVID-19 Information More Discoverable and Useful for the Public: A Guide to Website Markup Table of Contents SECTION 1 Introduction Purpose Deliverables Background SECTION 2 “SpecialAnnouncement” Implementation Instructions Steps to COVID-19 Information Sharing via Structured Data Markup Steps [...]

May 12th, 2020|Categories: Interviews and Research|

CareJourney Playbooks

CareJourney Interoperability and Advisory Playbooks Our playbooks streamline processes and provide best practices to our healthcare members related to interoperability initiatives. Playbooks can be developed jointly with members; if there is a hot topic you would like to collaborate on, please let us know! [...]

May 12th, 2020|Categories: Interviews and Research|

An Exploration of the Primary Care First (PCF) Payment Model

Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. One of the payment models is the Primary Care First (PCF) Model which is a voluntary, five-year alternative payment model (APM) aimed at reducing Medicare spending via prevention of acute hospital utilization, improving doctor-patient [...]

May 12th, 2020|Categories: Blog, JumpStart Offer|

Integrating Medicaid Data: Understanding the Sociodemographic Metrics At Play

Last November, the Centers for Medicare & Medicaid Services (CMS) announced the release of Medicaid and Children Insurance Program (CHIP) data through its Transformed Medicaid Statistical Information System (T-MSIS) analytical files. This release marks a historic step in CMS's commitment towards increasing data transparency and enables healthcare professionals to identify waste, promote best practices, and optimize [...]

April 27th, 2020|Categories: Blog, JumpStart Offer|
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