CareJourney is an open data insights service focused on the Medicare population that helps clinical networks reduce care costs by better matching patient segments to care models, market researchers understand provider performance on a set of user-defined parameters tied to longitudinal patient journeys, and application developers provide consumer decision support to help patients and caregivers better navigate the delivery system.
Our data services apply open health data, algorithms, APIs, and data “factory” services to reduce time to insight. Our products are open, customizable, and deployed with industry-standard financial metrics and a growing library of clinically-relevant analytics.
Our product offerings include:
CareJourney: a queryable tool built on the CMS-supplied CCLF files (linked Parts A/B/D patient data) for a portfolio of clinically-relevant insights to help measure performance and surface care intervention improvement opportunities for ACOs
Network Advantage: a benchmarking service powered by our approved license to access CMS’s full Medicare claims dataset (linked Parts A/B/D and, coming in Q4, Medicare Advantage Part C claims data for all 53M Medicare beneficiaries) that helps members evaluate providers and build networks based on pre-selected and customizable performance metrics.
Blue Button Developer Analytics: a data feed for application developers helping Medicare patients and caregivers make better sense of their Blue Button 2.0 API (linked Parts A/B/D patient data), including preventive service gaps, avoidable utilization, and eligibility for proven care models.