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6 Ways Employers Can Prepare for their Expanded Role as Health Fiduciaries
Employers who self-fund their employee health insurance are in the midst of a shifting legal landscape that ultimately lays a larger burden on them to ensure the funds utilized for employee health insurance are being used wisely. This increased responsibility, which comes with potentially large legal and financial ramifications, might catch some employers by surprise.
On-demand Webinar: Value-based Care: Crisis, Opportunity, or Distraction
On-Demand Webinar Value-based Care: Crisis, Opportunity, or Distraction? Access On-Demand Webinar How Can Health Systems Leverage VBC Programs to Improve Patient Care? Join Dr. Omar Lateef, president and CEO of RUSH, and Michael Kopko, CEO & Co-Founder of Pearl Health, as [...]
Syntax Health and CareJourney Announce Partnership to Scale Value-based Care
Atlanta, GA—February 26, 2024—Syntax Health, the first and only two-sided SaaS actuarial platform for value-based care (VBC) modeling and contracting, and CareJourney, the market leader in healthcare provider cost and quality data, have announced a data partnership designed to offer providers and payers significant supplemental data to model VBC opportunities and reach agreements.
Webinar: Your Value-based Care Roadmap for 2024 and Beyond
Join us for three different sessions to lay the foundation for a successful year (and future) in value-based care. In a series moderated by Dr. Katherine Schneider, former CEO of DVACO and former chair of NAACOs, you’ll see how data and analytics can power your success across three strategic areas.
What Drove Success for ACO REACH’s Highest Performing ACOs in 2022?
On October 23, CMS released the results and public use file for Global and Professional Direct Contracting (now known as ACO REACH)’s 2022 performance year. The program had 99 participating ACOs in 2022, of which 81 ACOs attained gross savings and 75 ACOs attained net savings (after applicable discounts, CMS shared savings, sequestration, and risk corridors).
8 Trends Among Top-Performing MSSP ACOs in 2022
A successful MSSP ACO requires a nuanced understanding of its providers, market, and patients. Armed with intelligence, these ACOs can grow into new markets, increase their quality performance, and continue to transform their care model. Learn what separates top performers from lower performers.
Hospital Use of Common Z-codes for Medicare Fee-For-Service Beneficiaries, 2017–2021
Recognizing the impact of the social determinants of health (SDOH) on health outcomes, in 2016, the Centers for Medicare and Medicaid Services recommended the use of International Classification of Diseases, 10th Revision (ICD-10), Z-codes to capture patients' health-related social needs. We examined changes in Z-code utilization to document health-related social [...]
ACO Identifies $1.1M Annual Gap in Risk Score Benchmark Leveraging CareJourney Market Intelligence
This organization is an MSSP ACO in the midwest, serving 17,000 beneficiaries across their state.
U.S. News to Debut Best Ambulatory Surgery Centers in 2024
Washington, D.C. – Nov. 28, 2023 (PR NEWSWIRE) – U.S. News & World Report, the global authority in health care rankings and consumer advice, today announced the addition of Best Ambulatory Surgery Centers to its annual series of ratings evaluating health care sites. CareJourney, the market leader in provider cost [...]
Chronic Kidney Disease: Patterns in Racial Health Inequity in CKD Diagnosis
In this blog we highlight that, while the negative impacts of underdiagnosis within the overall population are shocking, the disparities that exist in vulnerable, historically-disadvantaged populations are even more alarming.
How Timely Access to Home Health Care Impacts Cost and Outcomes
We focused on analyzing home health care and the outcomes of patients who received home health care compared to those who did not. We found that home health care is associated with substantially better long-term outcomes in regards to cost, readmission rates, emergency department (ED) rates, and mortality.
Provider Data: The Critical Elements to Getting it Right
In this blog, we dig into the importance of analytics in measuring and evaluating providers, and the high stakes of getting it right.