Users can effectively evaluate the VBC landscape with analytics centered on VBC drivers of success to navigate markets you operate in, as well as those you don’t, with informed decisions. With data access to 100% of Medicare beneficiaries, their longitudinal claims data, and beneficiary to entity rosters, we are able to accurately measure entity performance across a wide range of measures - financial, quality, care coordination, specialty-specific, and more.
Users can effectively evaluate the VBC landscape with analytics centered on VBC drivers of success to navigate markets you operate in, as well as those you don’t, with informed decisions. This offering drills into our point of view on what constitutes "VBC drivers of success” (maximizing attribution, capturing risk, optimizing specialty spend, etc.) and helps you build a data-driven strategy around each of them.
There are a few key components needed to properly evaluate a risk entity: beneficiary-level claims data, accurate attribution, and accurate benchmark methodology. With data access to 100% of Medicare beneficiaries, their longitudinal claims data, and beneficiary to entity rosters, we are able to accurately measure entity performance across a wide range of measures - financial, quality, care coordination, specialty-specific, and more.
Data sources:
CMS Medicare fee-for-service claims details
MSSP Beneficiary and Provider Rosters
ACO REACH Beneficiary and Provider Rosters
Each view (by year) is organized by:
ACO
ACO x County
TIN
TIN x County
NPI
NPI x County
The following views are available as part of this listing:
VBC Population Distribution
APM Performance: Entities (ACOs)
APM Performance: Practice Groups
APM Performance: Physicians (NPIs)
APM Performance: Geography (County)
VBC Entity Compare
VBC Entity Specialty Compare
Sample fields include:
Demographic Metrics
Entity ID
Entity Name
Entity Geography (County)
Parent Organization
APM Type (MSSP, REACH)
Spend and Utilization Metrics
Historical Benchmark
Total PMPY
Inpatient PMPY
Outpatient PMPY
Part B PMPY
IP per 1k
Avoidable ED
Patient Growth/Churn Metrics
AWV Compliance Rate
Flu Shot Compliance Rate
TCM Compliance Rate
Quality/Care Coordination Metrics
Lost Patient Count
MA Switch Lost Patient Percent
Reassigned Lost Patient Percent
New Patient Count
New Patient Visit Count
Patient Growth Percent
Specialty Metrics
Cancer Surgery Patient and Claim Count
Chemo or Immunotherapy Patient and Claim Count
Radiation Admin Patient and Claim Count
Dialysis Patient and Claim Count
Kidney Transplant Patient and Claim Count
BH Related Medication Usage Patient and Claim Count
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
This listing has one pricing dimension: Product Access, measured in units. It is offered at no cost, so you are not billed for access through the Marketplace. There are no tiers, instance sizes, or usage add-ons to compare. The single dimension grants subscribers access to the value-based care analytics product. Any paid data services or subscription terms are arranged separately with the vendor and are not part of this free Marketplace access.
Top-of-mind questions for buyers
What does one unit of Product Access grant me?
One unit of Product Access grants a subscriber entry to the value-based care analytics product. It is offered at no cost through the Marketplace. Access covers the analytics tooling itself, not any separately arranged data services or subscription terms handled directly with the vendor.
Will my Marketplace charges change as I use the product more?
No. Product Access is offered at no cost, so your Marketplace bill stays at zero regardless of usage. There are no usage meters, tiers, or included-amount limits to cross. Any paid data services you arrange separately with the vendor are billed outside this free Marketplace access.
What is not included in the free Marketplace access?
The free access does not cover paid data licensing or subscription terms. The vendor licenses its claims data under a separate end user agreement, with fees, subscription terms, and usage restrictions set out in that agreement. Those arrangements are made directly with the vendor, outside this Marketplace listing.
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Vendor refund policy
Not applicable - product available free of charge.
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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.
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.