CareJourney

CareJourney’s Provider Intelligence data asset is the first comprehensive resource to help you improve provider performance and referrals, grow your network, and build data-driven care teams. Healthcare stakeholders have generally operated with insufficient data. Critical decisions regarding patient care, referrals, and provider performance have been made using incomplete, scattered, un-actionable datasets, resulting in patients and providers paying the price, both financially and with their most precious currency: patient health.

By providing insights into care variation, and ensuring the data is keyed on 5 levels like NPI, Facility, and Group, CareJourney’s Provider Intelligence enables increased focus on making critical data-driven decisions around finding and recruiting the best providers who deliver high-quality, low-cost care. Data sources: CMS Medicare fee-for-service claims details Commercial claims details (add-on) CMS Physician Compare NPPES data QPP eligibility data The following views are available as part of this listing: Health Care Practitioner Health Care Provider Organization Health Care Practitioner APM Affiliation Health Care Facility Practitioner Affiliation Health Care Provider Organization Practitioner Affiliation Health Care Provider Organization Facility Affiliation Health Care Practitioner Claim Activity Health Care Practitioner Cost and Utilization Health Care Provider Organization Cost and Utilization Health Care Practitioner Referral Health Care Provider PPI Rollup Health Care Provider PPI Rollup Commercial Health Care Provider PPI Episode Quality Health Care Provider PPI Episode Quality Commercial Health Care Provider PPI Medical Setting Health Care Provider PPI Medical Setting Commercial Health Care Provider PPI Episode Cost Breakdown Health Care Provider PPI Episode Complication Health Care Provider PPI Episode Complication Commercial Market Episode Variation Sample fields include: Demographic Metrics Provider ID (NPI) Geographic Details Year Practice Group Affiliation Hospital Affiliation Taxonomy (NPPES and CareJourney) Number of Patients Performance Metrics Medical Codes (procedure and diagnosis) CareJourney Cost Index CareJourney Quality Index Allowed Amount Number of Claims Episode Type Count of Episodes Observed Allowed Amount Expected Allowed Amount Allowed Amount by Site of Service Episode Cost & Utilization Rate of Performance Probability of Performing Better Benchmarks Complications Episode Based Quality Measure Performance Referral data including specialty, number of patients, allowed amounts etc.