CareJourney Provider Performance

The CareJourney app gives Health Cloud users a new way to harness provider performance data for key business objectives, such as:

• Curating high performing networks – search database based on cost/quality quintiles, location, or practice group affiliation and add providers in Health Cloud at the click of a button
• Referral management – care coordinators can match dozens of provider-specific sub-specialty classifications and performance information on over 1000 different condition and treatment episodes with a patient’s needs to make smarter referrals
• Contracting with provider groups and payers – use descriptive statistics like panel size, cost/quality quintiles, practicing areas, and performance in specific episodes relative to market benchmarks to make contracting or outreach decisions

Available Metrics:

• Provider Sub Specialty
• Condition/Treatment Episodes
• Provider Cost/Quality Scores
• Panel Size
• Risk Score
• Benchmark

Where is the data derived from? The data is derived from a combination of CareJourney’s access to full Medicare and commercial claims data to provide insights across 270+ million lives and about 2 million providers, nationally.