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How ACO REACH Model Compares to Direct Contracting
Part one of a series: Stay tuned for additional blog posts on how CareJourney can assist in different facets of the ACO REACH program. On February 24, 2022, the CMS Innovation Center released the details on a new payment model, ACO REACH. ACO REACH represents a series of changes made to Global and Professional Direct Contracting (“Direct Contracting”, GPDC) [...]
Trends in Characteristics of Adults Enrolled in Traditional Fee-for-Service Medicare and Medicare Advantage
While overall Medicare Part C (Medicare Advantage) enrollment has grown more rapidly than fee-for-service Medicare enrollment, changes in the growth and characteristics of different enrollee populations have not been examined.
Trends in Characteristics of Fee-For-Service Medicare and Medicare Advantage Enrollees
Medicare Part C (Medicare Advantage) enrollment has grown more rapidly than fee-for-service Medicare Enrollment in the last decade, raising questions about changes in the characteristics of different enrollee populations for Medicare Part A only, Medicare Part A & B and Medicare Part C. [...]
UpStream Healthcare: First Chief Technology Officer in US Government Aneesh Chopra Accepts Independent Director Role
UpStream Healthcare continues to attract heavy-hitting national industry leaders to its mission togive physicians the support they need to treat older Americans.
Rush and CareJourney Develop ACO-level HCC Benchmarking Analytics
Accountable Care Organizations (ACOs) and the Centers for Medicare & Medicaid Services (CMS) used Hierarchical Condition Categories (HCCs) for many years. With the increased participation of providers in advanced payment models, ACO leaders now require innovative analytics on HCC prevalence among the Medicare Fee-for-Service population. [...]
How to Use Longitudinal Patient Data to Create a Better Continuum of Care
What is Longitudinal Patient Data? Longitudinal patient data tracks an individual’s health, risk factors, care usage (along with associated cost), and outcomes over time. This data, drawn from insurance claims, is typically used to provide a more individualized care experience for a patient while also tracking care effectiveness from the provider and payer viewpoints. [...]
Pitfalls and Opportunities on the Move to Value
The decision of the Centers for Medicare & Medicaid Services (CMS) to launch the mandatory Radiation Oncology (RO) model in 2022 will accelerate specialist enrollment in advanced alternative payments models, a decade-plus bipartisan policy objective that purports to constrain health inflation while improving quality.
Pitfalls and Opportunities on the Move to Value
The decision of the Centers for Medicare & Medicaid Services (CMS) to launch the mandatory Radiation Oncology (RO) model in 2022 will accelerate specialist enrollment in advanced alternative payments models, a decade-plus bipartisan policy objective that purports to constrain health inflation while improving quality. However, thanks to the late December [...]
Physician Quality: What is it, How do You Measure it, and Why is it Important?
Quality measures are standards to evaluate performance against when caring for patients. Different measures account for different perspectives depending on the data source and sponsoring organization. They are used to not only benchmark individual clinicians and distribute bonus payments [...]
CareJourney Announces HITRUST CSF Certification
Arlington, Va. (January 11, 2022) – CareJourney, a pioneer in value-based healthcare analytics, today announced that the company has achieved HITRUST Certified status for data security. HITRUST CSF Certification is a recognition that CareJourney, with data on over 270 million lives, adheres to the highest standards for healthcare data security and privacy. CareJourney is one of the first value-based analytics companies to achieve the HITRUST CSF certification.
Doximity Uses CareJourney Data in New Study On Physician Compensation and COVID-Related Retirement
Doximity, Inc, the leading digital platform for U.S. medical professionals, released its fifth annual Physician Compensation Report. The study – which surveyed more than 46,000 full-time U.S. physicians for this year’s report – is the largest physician compensation data set in the United States.
Analytics Needed to Succeed in Alternative Payment Models
Analytics and reporting tools can help providers that participate in Alternative Payment Models (APMs) measure the pulse of their program performance and provide helpful insights into their population health and risk levels, as well as uncover the potential for lowering cost and improving care quality. [...]