Blog
A Pulse on Healthcare Insights, Trends, and Hot Topics
CMMI Flexing New Primary Care Model
The ACO FLEX model, a new payment model (available to ACOs also within Medicare Shared Savings Program; MSSP) is aimed at primary care, specifically trying to increase access to coordinated care for all Medicare beneficiaries, particularly underserved populations.
The Annual ACO Roster Building Checklist: Top 10 Considerations to Drive Success
An ACO’s provider roster determines the patient population the ACO is accountable for, the financial budget the ACO is assigned, and ultimately the ACO’s ability to achieve savings. When evaluating providers to add to an ACO roster, it’s critical to be informed with the most accurate assessments of performance.
eBook: Harness Provider Performance Data to Drive Growth and Improve Care
CareJourney and Salesforce enable your system, organization, and network to address common data and analytics challenges all in one place. In this eBook, read how these two solutions enable you to harness provider performance data to achieve key business objectives.
Navigate the Complexities of ACO Strategy with Data-driven Insights
ACOs are simultaneously understanding their Performance Year (PY) 2023 performance, executing on their PY 2024 clinical strategy, as well as planning budgets, renewals, and strategies for PY 2025. With application deadlines, roster changes, and other decisions that impact PY 2025 looming, ACO leaders need to start planning for next year—without even fully understanding PY 2023 performance.
On-demand Webinar: Specialty Care
Value-based care organizations spend a lot of time thinking about the PCP. But, what about the specialists accounting for ~40% of your total spend? Creating a specialist strategy is key to your success. Watch this session around high-performing specialist networks to learn more.
How to Identify Patient Intervention Opportunities up to 5 Weeks Sooner With BCDA
BCDA offers adjudicated claims to model participants, but additionally offers partially adjudicated claims to ACO REACH entities, which allows for even quicker access to claims that enter Medicare’s system that have not yet been fully paid or processed by CMS. CareJourney dives deep into the nuances of BCDA claims, compares them with other common data feeds, and discusses the potential value across a handful of use cases.
On-demand Webinar: APM Performance
Proactive VBOs are already preparing for 2025, leveraging critical data on potential markets, savings opportunities, and financial benchmarks to make smart financial and clinical decisions. Now is the time to prepare: are you participating in MSSP or ACO REACH? Which provider organizations will benefit your ACO? Which markets and patients should you focus on?
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 they [...]
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.
