CareJourney

Participating (or considering participating) in a CMS risk-based payment model?

As CMMI strives to reach underserved populations, these models will likely include increasing health equity requirements.

Organizations should begin planning for these requirements now. Here is what to consider as you get started: https://bit.ly/3ydFWRt

As value-based care adoption grows and PCPs are increasingly accountable for more of the total cost & quality of care, access to provider performance data is a must. Ex: referrals to higher performing cardiologists could save over $3k per episode.

Read: https://bit.ly/3Z96NcD

On February 1, CMS released the Medicare Advantage (MA) Advance Notice, notifying MA plans about upcoming changes to the model for the following performance year.

In this new blog, we explain the proposed changes, including lower projected growth trends than expected, changes to the risk scoring methodology, HCC model reclassification, and more: https://bit.ly/3lIn0Hw

Are you registered for the upcoming Medicare Advantage Summit April 11-14?

CareJourney President Aneesh Chopra will be joined by Adam Boehler of Rubicon Founders and Gary Bacher of Capital Caring Health for a session all about risk adjustment reform.

See the robust agenda and register: https://medicareadvantagesummit.com/

CareJourney analyzed the open CMMI data from DCE/ACO REACH in 2021-2022. The analysis focused on how these models brought new beneficiaries, providers, and entities to value-based care, supporting CMS' goal of having all Medicare beneficiaries in an accountable care relationship by 2030. The findings:

• 50% of beneficiaries aligned to a DCE were not part of MSSP 2016-2022
• 43% of Participating Providers associated with a DCE were not part of MSSP 2016-2021
• 12 DCEs grew alignment by more than 100% in 2022

Read our complete analysis of this data: https://bit.ly/3kYgV9z

Looking for ways to level-up your team in 2023? 📈

Join your peers for a two-day, hands-on analytics training program led by industry experts, and walk away with an enhanced understanding of how to use data to succeed in value-based care.

Apply now: https://bit.ly/3Y1hYni

As an authorized researcher of CMMI data files, CareJourney conducted a preliminary analysis of DCE and ACO REACH performance in 2021-2022 to understand how these models have impacted recent value-based care growth, including impacts on underserved populations. Read our analysis to see:

1️⃣ the percentage of 2022 beneficiaries aligned to a DCE that were not part of MSSP between 2016-2022
2️⃣ the percentage of participating providers associated with a DCE that were not past of MSSP between 2016-2021
3️⃣ the number of DCEs that grew alignment by more than 100% in 2022

Analysis: https://bit.ly/3H6UQgi

We're excited to announce a new partnership with ClosedLoop! CareJourney's robust provider performance analytics, including episode-level physician benchmarking and scoring on cost and quality of care, will further improve the accuracy and impact of predictive models built with ClosedLoop’s data science platform.

Read more: https://bit.ly/3XGjmMs

Trustworthy data can convert out-of-network leakage risks into effectively-managed referrals. Read how leading health systems Banner Health and Rush University System for Health use data to retain patients and improve care quality: https://bit.ly/3QXTlp2

Cohort data from outside of one’s own population can help to meaningfully analyze small groups of specialized conditions, uncovering proven treatment plans, care coordination strategies, and more.

Learn how VillageMD and Thyme Care use data to identify trends in treatment, cost, and outcomes for their patient cohorts: https://bit.ly/3ITZqAU

Risk Adjustment: It’s Time For Reform | Health Affairs Forefront While technical in nature, risk adjustment is crucial to the future of health care transformation... If reforms to risk adjustment are to succeed, all of us concerned with the future of our health care system must be willing to work together to revisit core assumptions that surround use of the tradi...

All of us at CareJourney wish you and your loved ones a happy holiday season ❄️

That's a wrap on our last in-person VBC Analytics Certificate session of 2022. Thank you to our participants, subject matter experts, and training team for such a successful launch to this program.

We're excited to reconvene in 2023! Request a spot in our first session of the new year: https://bit.ly/3FzW033

PraxisCare, a direct contracting entity transitioning into ACO REACH, needed comprehensive and trusted data on their markets, patients, and providers to develop the right strategies for success.

Read how they leveraged CareJourney insights: https://hubs.la/Q01vL5KS0

The first performance year of the ACO REACH model begins in less than one month. Watch our latest webinar to learn how CareJourney helps PraxisCare, and one-third of all ACO REACH participants, with the tools to succeed in the model: https://bit.ly/3XWIe2Q

A reliable analytics vendor is critical to understanding patient needs, tracking provider and practice group performance, and uncovering market opportunities.

So where should you begin when selecting a vendor?

We've compiled a comprehensive list of questions healthcare leaders should consider when investing in analytics: https://bit.ly/3ORDV4M

Every quarter, CareJourney employees nominate a winner of the prestigious Golden Taco 🌮 award (because who doesn't love tacos?). The winner is someone who demonstrates excellence across business acumen, teamwork, subject matter expertise, inclusion, and/or leadership.

Congratulations to last quarter's winner, Michell Lin!

"Michell is a consummate professional. She can always be counted on to provide technical advice and support to prospects and members, and goes above and beyond to help us achieve our goals. Michell approaches every client meeting with poise and a refreshing sense of humor. I’m amazed by her commitment and growth, and cannot wait to see where her drive takes her." 🌮

Miss our latest webinar with VBC Exhibit Hall? Watch the replay to hear from panelists at Baylor Scott & White Health and Genesis Physicians Group about data that is critical to value-based care success: https://bit.ly/3EJQxWX

We are excited to announce that CareJourney has been named one of the fastest-growing companies on the 2022 Deloitte Technology Fast 500™ List. 🌟

Thank you to our members, employees, and leaders for making this recognition possible: https://bit.ly/3V4WRip

One-third of ACO REACH participants rely on CareJourney to track utilization, care model compliance, spend, and performance on the three claims-based quality metrics CMS is using to determine quality performance in the model.

Join our webinar Tuesday, November 15 at 2pm ET to learn how PraxisCare, a Direct Contracting Entity transitioning into ACO REACH, leverages CareJourney to understand population health trends and drive care management strategies.

CareJourney's Vice President of Member Services Katie Mulrean will be joined by PraxisCare's Chief Operating Officer Mike Olson.

Register: https://bit.ly/3thWq8k

Beaumont Health ACO needed a provider rating system that would accurately capture their specialist providers’ cost effectiveness—and a system that was deemed nuanced and relevant by providers themselves.

Read how the ACO leverages CareJourney’s Provider Performance Index to understand the cost effectiveness of the specialists receiving their referrals, and to enhance provider education of key performance drivers: https://bit.ly/3WitGK5

Upcoming webinar: Join us November 10 at 1pm ET with VBC Exhibit Hall where we'll walk through the 5 steps to success when taking on risk, including:

1️⃣ The key data needed to evaluate performance and succeed in VBC
2️⃣ How to understand the demographic makeup of your patient population
3️⃣ How to understand your providers’ performance and comparison to others
4️⃣ How to identify where leakage is occurring in your network
5️⃣ How to identify opportunities to steer patients to top-performing providers

Moderator Katherine Schneider, MD, MPhil., FAAFP and panelists Ashley Nelson King and Alyssa Moore, MHA from Genesis Physicians Group and Baylor Scott & White Health will discuss their experiences using data and analytics to succeed in value-based care.

Register: https://bit.ly/3TXNqAH

Leading consulting firm Guidehouse needed national provider cost and quality metrics that could be analyzed at a local level in order to support their healthcare clients' strategic initiatives.

By partnering with CareJourney, Guidehouse can share provider profiles and performance reports to support specific client engagements.

Read this case study to learn how CareJourney’s national dataset allows Guidehouse to:

✅ Enrich their existing data sources and analytics
✅ Support customizable visualizations and dashboards
✅ Flexibly link data keyed across industry standard identifiers

Read now: https://bit.ly/3z0sSQ3

Another session in the books! Please congratulate the newest graduates from our Value-based Care Analytics Certificate Program.

We are excited to keep sharing our expertise on how to make clinical and financial decisions using data.

Learn more about the program and register: https://bit.ly/3VU0cSK

Next week: The Workgroup for Electronic Data Interchange (WEDI) 2022 National Conference returns in person to discuss best practices and emerging trends in the IT industry. CareJourney President Aneesh Chopra will deliver the keynote address at 1pm ET.

Conference sessions will focus on the federal healthcare perspective, , , privacy & security, guiding principles in electronic payment and the No Surprises Act.

See the full agenda: https://bit.ly/3sbitgF

We are excited to share that CareJourney customers saved over $411 million under the Medicare Shared Savings Program (MSSP) in 2021, representing approximately one-quarter of the total savings reported for the program.

Prominence Health Plan, a CareJourney member affiliated with United Health Services, recently announced over $82 million in savings to Medicare and over $56 million in earnings for its 3,000 participating physicians.

“Since 2016, we have partnered with CareJourney for innovative analytics and insights to drive success across several of our ACOs,” said Kamal Jemmoua, CEO of Prominence Health Plan. “These insights help us make more informed decisions about improving patient continuity of care and enhancing acute and post-acute care performance, all activities necessary for success under MSSP.”

Read the full press release: https://bit.ly/3ViZNc8

Three questions that can help healthcare organizations select the strongest specialist providers for their preferred network:

1️⃣ Does the specialist provider have experience in value-based care?
2️⃣ Does the specialist provider have significant volume of the specific procedures and episodes that are present in your patient population?
3️⃣ Does the provider provide high-quality, low-cost care?

Access our live dashboard containing a sample of this data for specialists in Arizona: https://bit.ly/3Syf72I

We are excited to announce the growth of CareJourney's partner program, combining the power of our national-level performance dataset with the solutions and expertise of best-in-class partners to improve healthcare delivery and patient care.

CareJourney partners support a variety of use cases across multiple market segments, including:

🔸 Healthcare Technology Companies
🔸 Consulting and Advisory Firms
🔸 Healthcare Consumer Applications
🔸 Population Health and Value-Based Care
🔸 Healthcare Research

Read how current CareJourney partners Salesforce, Guidehouse, COPE Health Solutions, and Doximity leverage our provider performance data: https://bit.ly/3Rj2NBX

We are excited to welcome Ram Ramachandran as President of Products and Services at CareJourney!

Ram is a seasoned technology executive with a successful track record of delivering complex enterprise software and helping companies grow their customer base.

In his role, Ram will lead teams across the product development, engineering, data science and customer success functions.

Read the full press release: https://bit.ly/3r6k3Qr