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    CareJourney Provider Intelligence

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    Sold by: CareJourney 
    Deployed on AWS
    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.

    Overview

    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.

    Details

    Delivery method

    Deployed on AWS
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    Pricing

    CareJourney Provider Intelligence

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    This product is available free of charge. Free subscriptions have no end date and may be canceled any time.
    Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator  to estimate your infrastructure costs.

    Vendor refund policy

    Not applicable - product available free of charge.

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    Usage information

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    Delivery details

    AWS Data Exchange (ADX)

    AWS Data Exchange is a service that helps AWS easily share and manage data entitlements from other organizations at scale.

    Additional details

    Data sets (1)

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    You will receive access to the following data sets.

    Data set name
    Type
    Historical revisions
    Future revisions
    Sensitive information
    Data dictionaries
    Data samples
    CareJourney_Provider_Intelligence
    Last 1 revisions
    All future revisions
    Not included
    Not included

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