CCGroup to Utilize National CMS Medicare Claims to Support Value-Based Agreements Between Health Plans and Health Systems

CCGroup to Utilize National CMS Medicare Claims to Support Value-Based Agreements Between Health Plans and Health Systems

SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup, the market leader in reliably measuring physician efficiency, supports key components of value-based agreements using the company’s Centers for Medicare & Medicaid Services (CMS) Innovator project. The CCGroup Innovator project allows access to all Medicare fee-for-service (FFS) claims through the CMS Virtual Research Data Center (VRDC) – including all acute care, post-acute care, physician visits, physician procedures, and pharmacy services for more than 38 million individuals each year. This includes all 50 states and the District of Columbia.

Read full article here.

CCGroup Receives Access to National CMS Medicare Claims to Improve Physician and Hospital Efficiency of Care

CCGroup Receives Access to National CMS Medicare Claims to Improve Physician and Hospital Efficiency of Care

SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup, the market innovator and leader in reliably measuring physician efficiency, is pleased to announce that the Centers for Medicare & Medicaid Services (CMS) approved our Innovator project to access all Medicare fee-for-service (FFS) claims through the CMS Virtual Research Data Center (VRDC). With this distinction, CCGroup gains access to all acute care, post-acute care, physician visits, physician procedures, and pharmacy services for more than 38 million individuals each year. This includes all 50 states and the District of Columbia.

Read full article here.

Cave Consulting Group (“CCGroup”) Success Stories on Healthcare Clinical Transformation

Cave Consulting Group (“CCGroup”) Success Stories on Healthcare Clinical Transformation

SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup published a 2016 press release stating that 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 to develop and maintain the Clinical MedMarker Protocol Ranges™, which are achievable, appropriate ranges of clinical practice. This effort with our panels helps to ensure the validity of established Clinical MedMarker Protocol Ranges™,” stated Dr. Douglas G. Cave, President of CCGroup.”

Read full article here.

Cave Consulting Group (“CCGroup”) Releases New Version of CCGroup BundleCare™ to Support Bundled Payments for Care Improvement

Cave Consulting Group (“CCGroup”) Releases New Version of CCGroup BundleCare™ to Support Bundled Payments for Care Improvement

SAN MATEO, Calif.–(BUSINESS WIRE)–“CCGroup supports all three (3) ways our clients desire to drive towards high-value care,” stated Dr. Douglas G. Cave, President of CCGroup. One area of focus is bundles-of-care. The CMS Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative as a way to improve performance accountability when actually performing the bundle of interest – and the current 48 bundles in BPCI are supported by CCGroup.

Read full article here.

 

A National Healthcare Predicament: Most PCPs Are Not Involved in Managing the Top 10 Medical Conditions with Significant Practice Variations

A National Healthcare Predicament: Most PCPs Are Not Involved in Managing the Top 10 Medical Conditions with Significant Practice Variations

SAN MATEO, Calif.–(BUSINESS WIRE)–Primary care physicians (PCPs) need to become more active participants in treating the Top 10 medical conditions with significant practice variations. “Nationally, PCPs are solely involved in treating less than 25% of medical condition episodes with the most practice variations,” stated Dr. Douglas G. Cave, President of Cave Consulting Group (CCGroup). “And these medical conditions – such as low back pain, degenerative joint disease, headaches, sleep apnea, cataracts, and heartburn – drive well over 50% of all potential patient cost and quality improvements.”

Read full article here.

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

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, President of CCGroup.

Read full article here.

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

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 Medicare Shared Savings Program (MSSP) with the Centers for Medicare and Medicaid Services (CMS) to better manage these Medicare beneficiaries, focusing on higher quality, more coordinated, and less variable care.

Read full article here.

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

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.

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

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.