CareJourney: Market Intelligence

CareJourney’s Market Intelligence data asset is a comprehensive resource that maps out the physician and non-physician providers in selected markets.

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.

With over 2 million NPIs profiled, CareJourney’s data asset enables an increased understanding of which markets providers operate in, to truly get a holistic view of a market.

Data sources:
- CMS Medicare fee-for-service claims details
- CMS Physician Compare
- NPPES data

Each view (by year) is organized by:
- Provider
- Facility
- Market
- Cohort

Sample fields include:
Demographic Metrics
- Provider ID (NPI)
- Taxonomy (NPPES and CareJourney)
- Facility Type and Sub Type
- Chain Affiliation
- Year
- Geographic Details
- Procedures

Premium Metrics
- Spend per Beneficiary per Month and Breakouts
- Number of Patients
- Utilization per 1000 Lives
- Average Risk Scores
- Volume of Procedures

搜集汇总

背景与挑战

背景概述

CareJourney: Market Intelligence 是一个全面的数据集，旨在通过分析超过200万NPI的医疗提供者信息，帮助医疗保健利益相关者弥补数据不足，获得市场全景。数据来源于CMS医疗保险索赔等公开数据，按提供者、设施、市场和群组组织，包含人口统计和高级指标（如支出、患者数量、风险评分），以支持决策优化。