CareJourney Provider Performance Index

Executive Summary

Whether you’re making decisions about which providers to include in a network, seeking to improve cost and quality in that network, striving to improve one’s practice, or choosing providers for your own health care, there’s a clear need for a data-driven provider evaluation toolset.

This need is growing as the American health care system migrates to value-based care, and more entities are taking on risk in delivering cost and outcomes.

To reduce waste in health care and move toward value-based care, the Affordable Care Act directed the release of Medicare data to the private and public sectors to measure provider performance. However, until now, there has not been a trusted or transparent measure of health care costs or outcomes at the physician level.

With the mission of bringing value-based care to life, CareJourney has developed a universal provider rating system that uses these vast data resources and rigorous statistics to benchmark more than 800,000 providers on cost and quality. With an objective, risk-adjusted, statistically reliable rating methodology:

• Payers and health systems can build and manage high-performing networks to reach quality goals and reduce costs.
• Providers gain insight and recommendations on where to improve to optimize patient care.
• Patients and their families can make wiser, evidence-based health care decisions.

The need for a data-driven provider evaluation toolset is growing as the American health care system migrates to value-based care and more entities are taking on risk for delivering cost and outcomes.