We are your experts
Explore our research and analysis, watch our webinars, and see the latest news and events
Aneesh Chopra on Necessary AI Guardrails in Light of OpenAI CEO’s Congressional Testimony
OpenAI CEO Sam Altman testifies before Congress about the advancement and the risks of the technology in the Artificial Intelligence world. Former U.S. Chief Technology Officer Aneesh Chopra joins Ana Cabrera to break down how AI is present in our lives and what needs to be done to make sure [...]
U.S. News and CareJourney Collaborate to Enhance Doctor Finder
Washington, D.C.—April 25, 2023—U.S. News & World Report, the global authority in rankings and consumer advice, today announced the addition of Areas of Expertise to its doctor-finder tool for patients. Powered by a new collaboration with CareJourney, the market leader in provider cost and quality data, the new feature adds pertinent information to more than 100,000 physician profiles in U.S. News’ free, searchable Doctor Finder.
On-demand Webinar: Use Data to Understand How Medicare Advantage Risk Adjustment Changes Impact You
In this webinar, CareJourney experts share the implications of MA risk adjustment methodology changes for different stakeholders, and how to prepare for the changes. See how an example organization will be affected, and recommended actions based on their impact.
Medicare Advantage Rate Announcement – What Stayed, What Changed, and How Will It Impact Payers and Plans?
On March 31, 2023, Centers for Medicare and Medicaid Services (CMS) released the annual 2024 Medicare Advantage and Part D Rate Announcement (Rate Notice), which is the final guidance on rates for Medicare Advantage in 2024.
Deriving Actionable Insights From Imperfect Price Transparency Data
On July 1, 2022, the Federal Price Transparency Rule (the Rule) went into effect for commercial health plans. Under these requirements, certain health insurers must disclose their in-network negotiated rates as well as their out-of-network allowed rates.
Accelerating the Future: Optimizing Public/Private Collaboration to Scale What Works
This blog outlines progress to date on products that support Bulk FHIR as part of the ONC Cures Act Final Rule.
On-demand Webinar: The MSSP Chassis: Data-informed Growth Strategy to Meet CMS’ VBC 2030 Goals
CMS has set the goal of having 100% of Medicare beneficiaries in a risk-based relationship by 2030. In order to align with this trajectory, ACOs need to partner with practices that care for the underserved, and decide which alternative payment model(s) to join in order to succeed.
eBook: 4 Critical Focus Areas When Applying for MSSP
Whether you’re an existing ACO looking to take on more risk, or a new entrant to the MSSP market, you need historical and predictive data to make informed decisions about your participation in the model. In this guide, we discuss the 4 critical focus areas that organizations interested in MSSP should consider.
CareJourney to Power Transcarent’s Quality Initiatives
Arlington, Va.—March 28, 2023 (BUSINESS WIRE)—CareJourney, the market leader in provider quality and cost data, today announced that it was selected as the provider data partner of choice by Transcarent, the first health and care experience company focused on making it easy for people to access high-quality, affordable care. CareJourney’s clinically-relevant, specialty-specific, and statistically rigorous cost and quality insights data will be integrated into Transcarent’s platform.
On-demand Webinar: How the Changes Proposed in the MA Advance Notice Impact Industry Stakeholders
CareJourney participated in the comment period with industry research partners Duke-Margolis, using CMS’ new risk adjustment methodology to analyze its impacts along several axes. Our experts explained the findings of our analyses, and the implications of these changes for different stakeholders.
CareJourney and Ribbon’s Partnership Brings Provider Cost and Quality Insights to Care Referrals
Why shouldn’t patients benefit from the same provider-level quality insights available to payer and provider networking teams?
Through partnerships like the one between CareJourney and Ribbon Health, they are.
Medicare Advantage Advance Notice: Who Will be Impacted, and How?
Medicare Advantage Advance Notice: Who Will be Impacted, and How? By Erica Everhart, J.D., and Nate Smith, M.S., Ph.D. Request Your Impact Analysis On February 1, 2023, CMS released the Medicare Advantage (MA) Advance Notice which is a document used to give notice [...]