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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|0 Comments

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|0 Comments

A World Without Prior Authorization — How Analytics are Helping Health Systems Transition to Value-based Care

Beckers Hospital Review recently pubs lied an article highlighting a recent CareJourney webinar moderated by Aneesh Chopra and featuring key industry leaders like Rod Neill, COO at Mercy Health Physicians in Youngstown, Ohio, Dianna Grant, MD, CMO at Next Level Health, Mark Foulke, executive vice president of transformational value-based care [...]

April 21st, 2020|Categories: Company News|0 Comments

Whitepaper: ACOs and Age-Related Macular Degeneration (AMD)

Accountable care organizations (ACOs) attempt to lower the cost of health care for a defined population while improving the quality of care that population receives. Reducing the total cost of care requires ACOs to implement both payment reform and delivery reform—changing payment models to align incentives for high-value care and shifting treatment to use resources more effectively.

April 17th, 2020|Categories: Whitepapers|0 Comments

Case Study | Building a High-Performing Specialist Network For a New Medicare Advantage Plan

Building a High-Performing Specialist Network For a New Medicare Advantage Plan Our member is a non-profit organization that is nationally recognized for providing innovative, high-quality health care coverage to over a million members across Medicare Advantage, Medicaid, and commercial plans. Challenges [...]

April 15th, 2020|Categories: Case Studies|Comments Off on Case Study | Building a High-Performing Specialist Network For a New Medicare Advantage Plan

Case Study | Louisiana Physicians ACO Reduces Avoidable Hospital Admissions by 16 Percent

Louisiana Physicians ACO Reduces Avoidable Hospital Admissions by 16 Percent Louisiana Physicians ACO (LPACO) is a Track 1, physician-owned ACO founded 2014 and based in Baton Rouge, LA. LPACO is a network of independent primary care physicians and healthcare professionals dedicated to working in a consistent and cohesive manner to [...]

April 15th, 2020|Categories: Case Studies|Comments Off on Case Study | Louisiana Physicians ACO Reduces Avoidable Hospital Admissions by 16 Percent

Impact of COVID-19 on Accountable Care Organizations Short-Term and Long-Term

The ongoing COVID-19 pandemic has shaken the healthcare industry dramatically. We all have loved ones affected by COVID-19 whether they are on the front-line fighting for us or they are patients trying to fight off the virus themselves. A significant focus has deservedly gone towards disease prevention and progression, but little time has been devoted to discussions around what the outlook looks like [...]

April 10th, 2020|Categories: Blog, COVID-19, JumpStart Offer|0 Comments
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