Real-World Case Studies and Customer Success Stories with CareJourney

Banner Health uses CareJourney to access trusted provider performance data. Brett Bingham, Chief Network Development Officer, relies on CareJourney for... provider performance conversations. The platform helps Banner Health evaluate and discuss provider quality. CareJourney supports data-driven decisions in healthcare management. Banner Health values CareJourney as a key data source.
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CareJourney helped Delaware Valley ACO analyze therapy use for frail and elderly patients. Using claims data, CareJourney identified high-need patients... and found the best therapy amount to lower costs. Patients who got outpatient therapy had $7,000 less in yearly care costs. DVACO now partners with therapy providers who match these care patterns. The findings were published in a top health journal.
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CareJourney enabled a national physician practice management company to analyze performance data on 1. 7 million providers. The company used...180 metrics to assess specialist quality and cost for Medicare patients. This helped primary care physicians make better referral decisions at the point of care. The data integration will support EHR workflows and empower patients with self-service access. The result is improved specialist network performance and informed care choices.
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CareJourney’s risk score benchmarking analytics helped a midwest MSSP ACO serving 17,000 beneficiaries find a $1. 1M annual gap in...their risk score benchmark. The ACO used CareJourney to compare their risk score and coding practices to state and MSSP benchmarks. They discovered lower heart failure prevalence and recapture rates in two provider groups, leading to missed care and underreported patient acuity. This insight could increase their MSSP benchmark by $1.1M. The ACO now plans to use CareJourney for ongoing HCC audit and compliance.
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CareJourney helped CURA Health Management grow its provider network by 50% in one year. CURA used CareJourney’s analytics to identify... and recruit high-performing providers for its ACOs. The platform enabled CURA to benchmark physicians on quality and cost, improving both metrics. CURA expanded its network across multiple states and improved provider performance scores. This partnership supported CURA’s mission to deliver better healthcare outcomes.
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CareJourney helped Quality Independent Physicians (QIP) access reliable provider performance data. QIP used CareJourney’s analytics to compare providers and track... key cost and quality metrics. This enabled QIP to grow its provider network by 47% in three years. QIP also added 2,000 new patients in 2021. The solution improved patient care and reduced costs for the ACO.
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CareJourney helped an innovative physician enablement company estimate beneficiary alignment for direct contracting. The company used CareJourney analytics to analyze... and benchmark providers, improving network planning and provider performance. With CareJourney, they identified key providers and facilities, strengthening referral tools and network design. The platform supported confident decisions for network expansion and optimizing cost and quality outcomes. Over 250,000 lives were managed using these insights.
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CareJourney helped PraxisCare manage 24,000+ Medicare beneficiaries as they moved to risk-based care. PraxisCare used CareJourney’s analytics to model practice... performance and stratify patient risk. The platform identified high-performing providers and supported population health strategies. PraxisCare achieved 100% retention of partner groups and recruited a major health system. CareJourney’s insights enabled PraxisCare to lead a network of independent medical groups as an ACO.
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CareJourney helped a midwest Accountable Care Organization (ACO) lower costs for congestive heart failure patients. The ACO assigned care managers... to over 200 patients and used CareJourney to track spending and outcomes. After 12 months, the ACO saw an $8,000 drop in average total spend per patient. The analysis also identified which care managers and patient types responded best. This data guided future investments and program improvements.
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CareJourney’s Financial Benchmarking helped an ACO enablement company manage over 500,000 MSSP beneficiaries. The company needed to prioritize sales conversations... with 30+ primary care practices before a key CMS deadline. CareJourney provided MSSP attribution insights and historic benchmarks. This let the company target practices with higher potential and avoid those with risk. As a result, they expanded into two new states and improved their MSSP strategy.
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CareJourney Provider Intelligence helped a tech-forward health plan improve its member provider directory. The plan used CareJourney’s cost and quality... scores to rank providers for over 100,000 Medicare Advantage members. Members found it easier to choose top providers and felt more confident in their care. The plan also reduced episodic care costs and improved quality. Positive member feedback highlighted better understanding and provider selection.
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CareJourney’s data and analytics helped a health plan with over 60,000 members expand into new markets. The plan faced challenges... identifying the right physician groups and lacked insights into provider quality and connections. Using CareJourney’s platform, they pinpointed high-performing providers and used advanced metrics to guide network expansion. The health plan grew its network, improved value-based care, and achieved strong network integrity.
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CareJourney’s Provider Performance Index helped Beaumont ACO rate specialist cost effectiveness. The ACO used these scores to educate providers and... improve referral decisions. Over 5,000 physicians accessed the insights through a portal and app. The system covered 325,000+ lives, including 26,000 Medicare beneficiaries. The new process improved specialist distribution payments and provider performance assessment.
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CareJourney helped a digital health management company analyze patient cohorts for chronic conditions. The company struggled to identify which patients... would benefit most from interventions. CareJourney's cohort analysis segmented patients by comorbidities, revealing that behavioral health issues more than doubled expected healthcare utilization for diabetes patients. The insights enabled targeted benefits, improved outcomes, and better ROI. The company also launched a self-service website for patients to access their own data.
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UpStream used CareJourney’s BCDA analytics to track provider cost and utilization trends weekly. They needed faster insights than monthly claims... data could provide. CareJourney enriched weekly claims files with analytics, letting UpStream benchmark spend, volume, and care quality in near real time. UpStream tracked avoidable ER visits and inpatient admits, helping care teams act quickly. The finance team closed monthly reports faster, without waiting for monthly claims data.
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Transcarent used CareJourney to give 1. 3 million members better healthcare choices. They needed strong data on provider quality and...cost. CareJourney delivered detailed insights and benchmarks for doctors and facilities. Transcarent integrated this data into their platform and apps. This helped them cut costs, offer flexible pricing, and guide patients to top providers. They also reduced the number of data vendors, saving money and improving efficiency.
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Guidehouse used CareJourney provider and cohort analytics to improve insights for healthcare clients. They needed national provider cost and quality... metrics to support network development and performance improvement. CareJourney delivered a national dataset with provider network, cohort utilization, and performance data. Guidehouse integrated this data into their warehouse, enabling better dashboards and visualizations. This helped Guidehouse expand their client base and deliver more value to healthcare organizations.
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CareJourney helped an emerging regional health plan use eight years of claims data to evaluate primary care physician performance. The health plan... wanted to expand its network and needed data-driven insights for value-based contracts. CareJourney provided network simulation and provider performance tools. The health plan identified top-performing practices and secured a key partnership. Ongoing monitoring and data updates support continued network growth.
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