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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.
Medicare Advantage Now Chosen By The Majority Of Minority And Low-Income Beneficiaries
Medicare Advantage (MA) has become increasingly popular over the past decade, with significant movement of beneficiaries away from traditional fee-for-service Medicare. While fee-for-service is still the option chosen by most beneficiaries (55 percent), some subsets of beneficiaries are much more likely to be enrolled in MA—specifically beneficiaries who are either [...]
Early Milestones on “Sync for Social Needs” Collaborative
Early Milestones on “Sync for Social Needs” Collaborative By Catherine Flatley, Senior Policy Advisor On December 6th, CMS announced the long-awaited update to a 2020 proposed rule, now called, “CMS 0057 Advancing Interoperability and Improving Prior Authorization Processes...” In addition to the new CMS rule, [...]