October 4, 2018
social-determinants-of-health

Cave Consulting Group (“CCGroup”) Integrates Social Determinants of Health Into Advanced Analytics for Value-Based Population Health Management

SAN MATEO, Calif.–(BUSINESS WIRE)–Healthcare leaders at the federal, state, and healthcare organization levels are progressively shifting towards population health to address current health inequities. “A key source of today’s health inequities is social determinants of health (SDOH), such as income, race, education, and social support,” stated Dr. Douglas G. Cave, […]

October 4, 2018
Practice Pattern

POM ACO Works with CCGroup to Identify Pattern Variations in Treating Medicare Shared Savings Program Beneficiaries

SAN MATEO, Calif.–(BUSINESS WIRE)–The Physician Organization of Michigan ACO, LLC (POM ACO) is working with Cave Consulting Group, Inc. (CCGroup) as part of POM ACO’s efforts to provide better health at lower overall healthcare costs for approximately 100,000 Michigan Medicare beneficiaries with traditional Medicare coverage. POM ACO entered into a […]

October 4, 2018
health-care-network

John Muir Health Works With CCGroup to Support Provider Network Optimization and Value-Based Care Programs

SAN MATEO, Calif.–(BUSINESS WIRE)—John Muir Health (JMH) is working with Cave Consulting Group, Inc. (CCGroup) as part of JMH’s efforts to engage with physicians to focus on opportunities to improve efficiencies in the delivery of high quality, coordinated care to patients. Read full article here.

May 30, 2018
Pop Health

Cave Consulting Group (“CCGroup”) Provides Advanced Analytics to Meet New NCQA Category PHM 3 – Delivery System Supports – for 2018 NCQA Health Plan Accreditation

SAN MATEO, Calif.–(BUSINESS WIRE)–The National Committee for Quality Assurance (NCQA) requires health plans and other payers to meet new Population Health Management (PHM) standards for PHM 3: Delivery System Supports for accreditation. CCGroup’s advanced analytics meet these new PHM 3 standards. Read full article here.

February 16, 2018
population health

Cave Consulting Group (“CCGroup”) Provides Advanced Analytics to Meet New NCQA Category PHM 2 – Population Identification – for 2018 NCQA Health Plan Accreditation

SAN MATEO, Calif.–(BUSINESS WIRE)–The National Committee for Quality Assurance (NCQA) requires health plans and other payers to meet new Population Health Management (PHM) standards for PHM 2: Population Identification for accreditation. CCGroup’s advanced analytics meet these new PHM 2 standards. Read full article here.

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 quality of care and reduce the number of unnecessary services […]

March 17, 2017
iStock_000004839396-Thumbs-up-woman-Medium

“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 most practice variations. Some of these medical conditions include low […]

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 coverage. This gatekeeper model was not successful for several reasons. […]

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 the key services associated with cost-of-care in treating a medical […]

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 refused the victorious plaintiff, Cave Consulting Group LLC, an injunction […]

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