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Health Equity Framework for Medicare Organizations
Health Equity is a Key Focus for CMS. In October of 2021, CMS’s Center for Medicare and Medicaid Innovation (CMMI) released their Ten-Year Strategic Plan which has five main pillars, one of which is Advancing Health Equity. They also outlined one of their key goals, to have all Medicare beneficiaries in some form of accountable care relationship by 2030.
Medicare Advantage Advance Notice: An Overview of the High-Impact Proposed Changes
On February 1, 2023, CMS released the Medicare Advantage (MA) Advance Notice which is a document used to give notice to MA plans about upcoming changes to the model for the following performance year. MA plans are given a period of time in which they may submit comments on the proposed changes. [...]
10 Tips to Improve ACO REACH Performance
A guide for measuring and monitoring ACO REACH performance in the 2023 performance year.
Which Parts of the United States Have the Most Consolidated Medicare Hospital Spending?
Using Medicare claims data from 2021 analyzed by CareJourney, The Commonwealth Fund examined the concentration of traditional Medicare spending within regional health care markets known as hospital referral regions (HRRs).
How to Steer Patients to High-value Specialists Using Provider Performance Data
How to Steer Patients to High-value Specialists Using Provider Performance Data By Shruti Valjee and Michell Lin Visualizations by Soophia Ansari Access the Data Overview A key driver on the path to value-based care involves Primary Care Providers (PCPs) accepting more [...]
First Look at Open CMMI Model Data: Value-based Care Growth Drivers in 2022
CMS announced the availability of Research Identifiable Files (RIFs) for many payment models, including the Global and Professional Direct Contracting Program (which has transitioned to ACO REACH for 2023). CareJourney was able to obtain these files via our researcher’s license and do a quick high-level analysis of the 2021 and 2022 performance years.
ClosedLoop and CareJourney Partnership Combines Critical Provider Performance Data with AI and Machine Learning Tools to Better Predict Health Risks for Patients and Improve Quality of Care
Austin, Texas and Arlington, Virginia—January 24, 2023—ClosedLoop and CareJourney announced today a partnership to enhance the way value-based care (VBC) program administrators make decisions with clinical data. The strategic effort will enhance ClosedLoop’s healthcare-specific library of content for artificial intelligence (AI) and machine learning (ML) with critical provider performance analytics from CareJourney, including episode-level physician benchmarking and scoring on cost and quality of care.
Keynote: Fiscal Policy Trends Through the Eyes of a CTO for the US Government
January 20, 2023: What does the role of CTO for the federal government entail? This position provides a one-of-a-kind perspective on healthcare in the United States. Aneesh Chopra, previous holder of this position and current President of CareJourney, joins us to discuss fiscal policy, and how the C-suite might consolidate [...]
Whitepaper: How Rush and Banner Health Use Data to Retain Patients and Improve Care
Healthcare analytics can show primary care providers and specialists where they can improve referrals, reduce out-of-network leakage, and pinpoint referral opportunities. Download this whitepaper to learn how Rush and Banner Health use data to retain patients and improve care.
Whitepaper: How VillageMD and Thyme Care use Cohort Intelligence to Improve Patient Care
By aligning individual patients, providers, points of care, diagnoses and care paths into cohorts, you gain several advantages. Download this whitepaper to learn more about those advantages, and how your peers use cohort-driven market intelligence to improve care.
Risk Adjustment: It’s Time For Reform
A growing range of policy discussions correctly assert that the current Centers for Medicare and Medicaid Services’ (CMS) risk-adjustment system needs modernization, reflecting its long history and evolution. While refined over time, the same CMS-Hierarchical Condition Categories (HCC) risk-adjustment model has been used for nearly 20 years.
Risk Adjustment: It’s Time For Reform
A growing range of policy discussions correctly assert that the current Centers for Medicare and Medicaid Services’ (CMS) risk-adjustment system needs modernization, reflecting its long history and evolution. While refined over time, the same CMS-Hierarchical Condition Categories (HCC) risk-adjustment model has been used for nearly 20 years.