Yuri Alexandrian

August 10, 2017
iStock_000016197186Medium

“Targeted Gatekeeper Model” Needed for Successful CPC+ Payment Reform and Delivery Transformation

SAN MATEO, Calif.–(BUSINESS WIRE)–Comprehensive Primary Care Plus (CPC+) is designed by the federal government to strengthen primary care through payment reform and care delivery transformation. The CPC+ payment design gives primary care physician (PCP) practices additional financial resources to improve […]

March 17, 2017
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“Targeted Gatekeeper Model” Provides High Return on Investment Through Improved Patient Cost and Quality of Care

SAN MATEO, Calif.–(BUSINESS WIRE)–Primary care physicians (PCPs) need to become more active participants in treating medical conditions with significant practice variations. “Currently, PCPs are involved in treating only 40% of the top 10 medical condition episodes of care with the […]

February 17, 2017
Targeted Healthcare

“Targeted Gatekeeper Model” for Specialist Referrals Gains Momentum Under Accountable Care and Value-Based Reimbursement

SAN MATEO, Calif.–(BUSINESS WIRE)–In the 1980s and 1990s, health plans and other payers depended on primary care physicians (“PCPs”) to be the gatekeeper for referrals to specialists. Covered members were required to select a gatekeeper in order to receive medical […]

November 15, 2016
Medicine team

Leading Health Systems Move Forward in the Development of Quantitative Clinical Pathways

SAN MATEO, Calif.–(BUSINESS WIRE)–Nationally over 230,000 primary care physicians (PCPs) and specialists are evaluated based on achieving acceptable clinical protocol ranges in treating medical conditions (or Clinical MedMarker Protocol Ranges™).    “MedMarkers™ are process of care quality measures that are […]

October 11, 2016
Intellectual_Property

Court Upholds $12M IP Infringement Verdict

Law360, New York (September 7, 2016, 7:29 PM EDT) — A California federal judge refused Wednesday to overturn a $12.3 million jury verdict against a UnitedHealth unit found to have infringed a patent for technology that measures doctors’ efficiency — but also […]

October 6, 2016
pcps

Primary Care Physicians Can Better Manage the Total Cost of Care for an Accountable Care Population

SAN MATEO, Calif.–(BUSINESS WIRE)–Primary care physicians (“PCPs”) can more effectively manage the total cost of care when managing the healthcare needs of a covered population. Cave Consulting Group (“CCGroup”) reached this conclusion after evaluating the performance of several health plan […]

May 16, 2016
medical-specialists

National Specialist Panels Uphold Established Clinical MedMarker Protocol Ranges™

SAN MATEO, Calif.–(BUSINESS WIRE)–Nationally over 230,000 primary care physicians (PCPs) and specialists are evaluated based on achieving acceptable clinical protocol ranges in treating medical conditions (or Clinical MedMarker Protocol Ranges™). “CCGroup works with CCGroup National Specialist Panels on an ongoing […]

April 1, 2016
Checking money status.

Foundation for Successful, Provider Value-Based Payment Programs

SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup is the market innovator and leader in reliably measuring physician efficiency. Just one year ago, a California federal jury awarded Cave Consulting Group, Inc. (CCGroup) more than $12 million after determining that OptumInsight’s Impact Intelligence infringes […]

May 13, 2015
Healthcare-Compliance

CCGroup Seeks Injunction Against OptumInsight’s Impact Intelligence Software

SAN MATEO, Calif.–(BUSINESS WIRE)–A California federal jury determined that UnitedHealth Group’s subsidiary OptumInsight infringed Cave Consulting Group’s patent for measuring physician efficiency. The federal jury determined that OptumInsight infringed the U.S. Patent No. 7,739,126 (“‘126 patent”) by operating and licensing its Impact Intelligence software, […]

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