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# Healthcare Analytics Software - Cave Consulting Group 

Our healthcare analytics software improves health providers, physicians, plans & hospitals' healthcare efficiency & quality of care for better patient outcomes. 

## Sitemaps

- [XML Sitemap](https://947440.us16.myftpupload.com/sitemap.xml): Contains all public & indexable URLs for this website.

## Posts

- [News](https://947440.us16.myftpupload.com/news/) - Latest news on Cave Consulting Group's healthcare analytics software happenings, work with healthcare providers and achievements.
- [CCGroup Maintains the Largest, Most Accurate, and Accepted Database on Physician Cost and Quality in Treating Prevalent Medical Conditions](https://947440.us16.myftpupload.com/ccgroup-maintains-the-largest-most-accurate-and-accepted-database-on-physician-cost-and-quality-in-treating-prevalent-medical-conditions/) - SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) maintains the largest database on physician cost and quality of care with respect to managing and treating prevalent medical conditions. This database is called the CCGroup-CMS Innovator Project Database. “We accurately and reliably measure the cost and quality of over 80% of all practicing primary care physicians (PCPs)
- [Medicare ACO Selects CCGroup to Implement and Maintain “Specialist Golden Referral Network” for Efficiency and Quality Improvement](https://947440.us16.myftpupload.com/medicare-aco-selects-ccgroup-to-implement-and-maintain-specialist-golden-referral-network-for-efficiency-and-quality-improvement/) - SAN MATEO, Calif.--(BUSINESS WIRE)--Cave Consulting Group, Inc. (CCGroup) was selected by a multi-state Medicare accountable care organization (Medicare ACO) to build, implement, and maintain their preferred specialist referral network (Specialist Golden Referral Network). “The Specialist Golden Referral Network is a proven strategy to achieve savings and improve quality when integrated into a Medicare ACO’s day-to-day operational
- [Efficiency and Quality Measurement](https://947440.us16.myftpupload.com/efficiency-and-quality-measurment/) - Example Project: Improve Efficiency of Practitioner Network We have worked with leading health plans and physician-hospital organizations on improving the efficiency and quality of their practitioner networks. In this capacity, the audit of each practitioner’s medical claims data and charts focused on quality of care and cost-effectiveness of service delivery–two components of care that are
- [Current Patents](https://947440.us16.myftpupload.com/current-patents/) - Current Patents The following CCGroup products are protected by patents in the United States. This website is provided to satisfy the virtual patent marking provisions of Section 16 of the America Invents Act. The following list of CCGroup products may not be all inclusive, and other CCGroup products not listed here may be protected by
- [Medicaid Health Plans Save Millions by Moving from Auto-Assignment to Smart-Assignment](https://947440.us16.myftpupload.com/medicaid-health-plans-save-millions-by-moving-from-auto-assignment-to-smart-assignment/) - SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) and healthcare researchers (such as Yale University) performed studies that show a 350,000 member Medicaid health plan will save between $2 million and $15 million annually by moving from auto-assignment to smart-assignment. Over a billion dollars are saved across all Medicaid health plans. Read full article here.
- [Western Region Health System Works with CCGroup to Improve Clinically Integrated Network Efficiency and Reduce Losses on Capitation Arrangements](https://947440.us16.myftpupload.com/western-region-health-system-works-with-ccgroup-to-improve-clinically-integrated-network-efficiency-and-reduce-losses-on-capitation-arrangements/) - SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) is working with a Western Region health system to improve the efficiency of the system’s clinically integrated network (CIN). “Our client’s CIN was built on quality and access to deliver healthcare to 170,000 capitated ACO REACH and Medicare Advantage patients,” stated Dr. Douglas G. Cave, President of CCGroup. “Little
- [Healthcare Organizations Direct Patients to Knee/Hip Replacement Surgeons with Better Patient Outcomes](https://947440.us16.myftpupload.com/healthcare-organizations-direct-patients-to-knee-hip-replacement-surgeons-with-better-patient-outcomes/) - SAN MATEO, Calif.–(BUSINESS WIRE)–“Value based payment incentivizes health systems and provider groups to develop interventions that reduce clinical waste and overutilization,” stated Dr. Douglas G. Cave, President/CEO of Cave Consulting Group, Inc. (CCGroup). He continued, “A procedure with the greatest potential for clinical waste and overutilization is knee/hip replacements.” Read full article here.
- [Part 2: CCGroup Clinical Decision Support System Quantifies “COVID Effect” on Decreased Healthcare Utilization in the United States](https://947440.us16.myftpupload.com/part-2-ccgroup-clinical-decision-support-system-quantifies-covid-effect-on-decreased-healthcare-utilization-in-the-united-states/) - SAN MATEO, Calif.–(BUSINESS WIRE)–This Cave Consulting Group Inc. (CCGroup) study quantifies the COVID Effect’s impact on decreased U.S. healthcare utilization. Decreased utilization is a function of at least two components: (1) decreased volume of medical condition episodes seen by PCPs and specialists; and (2) decreased volume of key medical services (MedMarkers™) used to diagnose and/or treat those
- [CCGroup Clinical Decision Support System Quantifies “COVID Effect” on Decreased Healthcare Utilization in the United States](https://947440.us16.myftpupload.com/ccgroup-clinical-decision-support-system-quantifies-covid-effect-on-decreased-healthcare-utilization-in-the-united-states/) - SAN MATEO, Calif.–(BUSINESS WIRE)– Cave Consulting Group, Inc. (CCGroup) initiated this study to quantify the COVID Effect’s impact on decreased U.S. healthcare utilization. Decreased utilization is a function of at least two components: (1) decreased volume of medical condition episodes seen by PCPs and specialists; and (2) decreased volume of key medical services (MedMarkers™) used to diagnose
- [CCGroup Enables Intelligent Patient Steerage to Efficient Specialists Providing Specific Procedures in a Timely Manner](https://947440.us16.myftpupload.com/ccgroup-enables-intelligent-patient-steerage-to-efficient-specialists-providing-specific-procedures-in-a-timely-manner/) - SAN MATEO, Calif.–(BUSINESS WIRE)–With value based payment, health plans and clinically integrated networks (CINs) need to provide access to the best possible healthcare in a timely manner at the lowest total cost. “One important way to meet this goal is to steer patients to those network specialists that efficiently provide a specific procedure and have time availability,”
- [Company Leadership](https://947440.us16.myftpupload.com/company-leadership/) - Douglas G. Cave Ph.D, MPH Douglas G. Cave Ph.D, MPH, President & Founder Doug Cave is the founder of CCGroup, and oversees all aspects of the company’s operations, development and sales. Doug has served as CEO, President and COO of several healthcare companies. He has over 30 years of experience in the HMO, health insurance,
- [Mountain-Based Health Plan Works with CCGroup to Relax Prior Authorization and Build High Value Networks](https://947440.us16.myftpupload.com/mountain-based-health-plan-works-with-ccgroup-to-relax-prior-authorization-and-build-high-value-networks/) - SAN MATEO, Calif.–(BUSINESS WIRE)–A mountain-based health plan is working with Cave Consulting Group, Inc. (CCGroup) in the area of prior authorization and utilization management (PA/UM) transformation. “Over time, an objective is to limit PA/UM programs to outlier providers whose ordering patterns differ significantly from clinically appropriate ranges of clinical practice as well as their peers,” stated Dr. Douglas
- [Southern Health System Works with CCGroup to Tier Clinically Integrated Network Based on Cost and Quality](https://947440.us16.myftpupload.com/southern-health-system-works-with-ccgroup-to-tier-clinically-integrated-network-based-on-cost-and-quality/) - SAN MATEO, Calif.–(BUSINESS WIRE)–A large southern health system with many employed and affiliated physicians is working with Cave Consulting Group, Inc. (CCGroup) to support their clinically integrated network (CIN), tiered network strategy. The tiered CIN strategy is based on efficiency (cost of care) and effectiveness (quality of care). A tiered CIN is necessary to successfully manage value
- [Hawaii IPA Works with CCGroup to Address Practice Variations for Medicare Advantage Patients Under Risk-Adjusted, Capitation Payments](https://947440.us16.myftpupload.com/hawaii-ipa-works-with-ccgroup-to-address-practice-variations-for-medicare-advantage-patients-under-risk-adjusted-capitation-payments/) - SAN MATEO, Calif.–(BUSINESS WIRE)–The Hawaii Independent Physicians Association (Hawaii IPA) is working with Cave Consulting Group, Inc. (CCGroup) to access accurate and reliable physician efficiency (cost-of-care) and effectiveness (quality process of care) scores. “A main reason is that Hawaii IPA accepts capitation payment for Medicare Advantage patients. Therefore, we need to identify and reduce practice variations to improve
- [CCGroup Launches Cloud/SaaS Subscription Model for Access to National Physician Efficiency Results from CCGroup-CMS Innovator Project](https://947440.us16.myftpupload.com/ccgroup-launches-cloud-saas-subscription-model-for-access-to-national-physician-efficiency-results-from-ccgroup-cms-innovator-project/) - SAN MATEO, Calif.–(BUSINESS WIRE)–“Clinically integrated networks (CINs) and provider groups need immediate access to accurate and reliable physician efficiency (cost-of-care) and effectiveness (quality process of care) scores to better prepare for value base payments from health plans and the Centers for Medicare & Medicaid Services (CMS),” stated Dr. Douglas G. Cave, President/CEO of Cave Consulting Group, Inc. (CCGroup).
- [BCBS Western New York - CCGroup: New Apex Network to Debut January 2021](https://947440.us16.myftpupload.com/bcbs-western-new-york-ccgroup-new-apex-network-to-debut-january-2021/) - Date: September 24, 2020 BlueCross BlueShield of Western New York is offering a new plan to small groups for January 2021 that will include a network of high-performing provider practices. Only small groups (1-100 members) in Erie and Niagara Counties will have the option to choose Apex. The network will be limited to only the
- [BCBS Western New York - Provider Insights with Cave Analytics Reports](https://947440.us16.myftpupload.com/bcbs-western-new-york-provider-insights-with-cave-analytics-reports/) - Date: August 28, 2020 BlueCross BlueShield of Western New York has partnered with Cave Analytics to help us objectively share quality and cost information – based on claims data – with our network of providers. With this new partnership, we seek to offer transparency and information that benefits both providers and patients. About Cave
- [About 30% of Specialists Are Not ‘Outlier Providers’ and Should Receive Relaxed Prior Authorization or Be Gold-Carded](https://947440.us16.myftpupload.com/about-30-of-specialists-are-not-outlier-providers-and-should-receive-relaxed-prior-authorization-or-be-gold-carded/) - SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) has determined that 30% of specialists should receive relaxed prior authorization and utilization management (PA/UM). At issue is that many health plans and other payers have yet-to-implement an evidence-based, clinical decision support system to gold card network specialists. Read full article here.
- [Is Kaiser Permanente Health Plan More Efficient Than Competing Blue Cross Blue Shield Health Plans and Regional Health Plans?](https://947440.us16.myftpupload.com/is-kaiser-permanente-health-plan-more-efficient-than-competing-blue-cross-blue-shield-health-plans-and-regional-health-plans/) - SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CGroup), the market leader in reliably measuring physician and health system efficiency for several decades, is answering this question using results from the company’s Centers for Medicare & Medicaid Services (CMS) Innovator Project. The CCGroup Innovator Project allows access to all Medicare fee-for-service (FFS) and Medicare Advantage (MA) claims
- [CCGroup to Utilize National CMS Medicare Claims to Support Value-Based Agreements Between Health Plans and Health Systems](https://947440.us16.myftpupload.com/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,
- [CCGroup Receives Access to National CMS Medicare Claims to Improve Physician and Hospital Efficiency of Care](https://947440.us16.myftpupload.com/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
- [Cave Consulting Group (“CCGroup”) Success Stories on Healthcare Clinical Transformation](https://947440.us16.myftpupload.com/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
- [Cave Consulting Group (“CCGroup”) Releases New Version of CCGroup BundleCare™ to Support Bundled Payments for Care Improvement](https://947440.us16.myftpupload.com/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
- [A National Healthcare Predicament: Most PCPs Are Not Involved in Managing the Top 10 Medical Conditions with Significant Practice Variations](https://947440.us16.myftpupload.com/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
- [Welcome to Cave Consulting Group](https://947440.us16.myftpupload.com/welcome-to-cave-consulting-group/) - CCGroup is a software and consulting company focused on improving the efficiency and quality in the healthcare delivery system.
- [CCGroup Marketbasket System™](https://947440.us16.myftpupload.com/ccgroup-marketbasket-systemtm/) - The CCGroup Marketbasket System™ includes solutions for provider and network management, as well as member and population management.
- [Cave Consulting Group](https://947440.us16.myftpupload.com/cave-consulting-group/) - We recognize the need to address all components of medical trend, if efficiency and quality are to be improved and trend is to be controlled.
- [Company Overview](https://947440.us16.myftpupload.com/company-overview/) - Vision Statement Cave Consulting Group, Inc. (CCGroup) is a software and consulting company focused on improving the efficiency and effectiveness/quality in the healthcare delivery system. We recognize the need to address all components of medical trend (not just service price discounts), if cost-efficiency and effectiveness are to be improved and trend is to be controlled.
- [“Targeted Gatekeeper Model” Needed for Successful CPC+ Payment Reform and Delivery Transformation](https://947440.us16.myftpupload.com/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 their patients receive. Read full
- [Virginia Mason Practices in the Appropriate Clinical Protocol Range for MRI of Spine Use in Diagnostics for Low Back Pain](https://947440.us16.myftpupload.com/virginia-mason-practices-in-the-appropriate-clinical-protocol-range-for-mri-of-spine-use-in-diagnostics-for-low-back-pain/) - SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup is pleased to announce that Virginia Mason Medical Center (Virginia Mason) in Seattle, Wash. continues to practice in the appropriate Clinical MedMarker™ Protocol Range for utilizing MRI of Spine in diagnostics for routine, non-complicated low back pain (LBP) patient episodes-of-care. This news is not surprising to Robert Mecklenburg, MD, Medical Director of
- [Cave Consulting Group Receives Patent on CCGroup Marketbasket System](https://947440.us16.myftpupload.com/cave-consulting-group-receives-patent-on-ccgroup-marketbasket-system/) - San Mateo, CA. – CCGroup is pleased to announce that the United States Patent and Trademark Office has issued Patent No. 7,739,126 on its grouper of medical condition episodes of care and provider efficiency methodology and system. “The main advantage of our patent is that the efficiency methods allow our health plan and physician group clients
- [Cave Consulting Group (“CCGroup”) Provides Advanced Analytics to Meet New NCQA Category PHM 2 – Population Identification – for 2018 NCQA Health Plan Accreditation](https://947440.us16.myftpupload.com/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.
- [Cave Consulting Group (“CCGroup”) Provides Advanced Analytics to Meet New NCQA Category PHM 3 – Delivery System Supports – for 2018 NCQA Health Plan Accreditation](https://947440.us16.myftpupload.com/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.
- [John Muir Health Works With CCGroup to Support Provider Network Optimization and Value-Based Care Programs](https://947440.us16.myftpupload.com/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.
- [Cave Consulting Group (“CCGroup”) Integrates Social Determinants of Health Into Advanced Analytics for Value-Based Population Health Management](https://947440.us16.myftpupload.com/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
- [POM ACO Works with CCGroup to Identify Pattern Variations in Treating Medicare Shared Savings Program Beneficiaries](https://947440.us16.myftpupload.com/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)
- [CCGroup BullsEye™ and MedMarker™ Patent](https://947440.us16.myftpupload.com/ccgroup-bullseye-and-medmarker-patent/) - Cave Consulting Group (“CCGroup”) Receives Patent on MedMarkers™ to Support Healthcare Provider Efficiency Scores CCGroup is pleased to announce that the United States Patent and Trademark Office has issued Patent No. 8,301,464 on its CCGroup BullsEye™ methods of statistical analysis. The CCGroup BullsEye™ system targets those medical care services most associated with provider overall efficiency
- [CCGroup Develops Acceptable Clinical Protocol Range for Upper GI Endoscopy Use in Treating Gastroesophagel (GERD)](https://947440.us16.myftpupload.com/ccgroup-develops-acceptable-clinical-protocol-range-for-upper-gi-endoscopy-use-in-treating-gastroesophagel-gerd/) - Cave Consulting Group (“CCGroup”) Develops Acceptable Clinical Protocol Range for Upper GI Endoscopy Use in Treating Gastroesophageal (GERD) February 22, 2013 San Mateo, CA. – CCGroup is pleased to announce that the company has developed an acceptable clinical protocol range for utilizing upper gastrointestinal (GI) endoscopies in treating routine, noncomplicated GERD (or heartburn) patient episodes-of-care.
- [U.S. Patents Issued to Protect Cave Consulting Group’s (“CCGroup”) Physician Efficiency Measurement Using Episodes-of-Care and a Predefined Set of Medical Conditions](https://947440.us16.myftpupload.com/u-s-patents-issued-to-protect-cave-consulting-groups-ccgroup-physician-efficiency-measurement-using-episodes-of-care-and-a-predefined-set-of-medical-conditions/) - U.S. Patents Issued to Protect Cave Consulting Group’s (“CCGroup”) Physician Efficiency Measurement Using Episodes-of-Care and a Predefined Set of Medical Conditions San Mateo, CA. – CCGroup is pleased to announce that the United States Patent and Trademark Office has issued a fourth patent to CCGroup, protecting its physician efficiency methodology and system. The four (4) patents are
- [Cave Consulting Group, Inc. Prevails In Numerous Patent Infringement Disputes With OptumInsight, Inc.](https://947440.us16.myftpupload.com/cave-consulting-group-inc-prevails-in-numerous-patent-infringement-disputes-with-optuminsight-inc/) - SAN MATEO, Calif.–(BUSINESS WIRE)–CCGroup is pleased to announce that it has prevailed on many of the patent infringement claims asserted against it by OptumInsight (formerly Ingenix, Inc.). OptumInsight’s claims of infringement for 6 of its 8 asserted patents, which pertained to grouping medical claims data into episode treatment groups (“ETGs”), have been dismissed by the court
- [Jury Awards Cave Consulting Group $12 Million for Patent Infringement](https://947440.us16.myftpupload.com/jury-awards-cave-consulting-group-12-million-for-patent-infringement/) - SAN MATEO, Calif.–(BUSINESS WIRE)–A California federal jury on Friday, April 3, 2015 awarded Cave Consulting Group, Inc. more than $12 million after determining that UnitedHealth Group’s subsidiary OptumInsight infringed Cave Consulting Group’s patent for measuring physician efficiency. The jury also rejected OptumInsight’s counterclaim that Cave Consulting Group infringed OptumInsight’s patent for processing medical claims data. Cave Consulting Group’s
- [CCGroup Seeks Injunction Against OptumInsight’s Impact Intelligence Software](https://947440.us16.myftpupload.com/ccgroup-seeks-injunction-against-optuminsights-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, a competing solution for developing physician efficiency scores. “The jury found that OptumInsight’s Impact Intelligence
- [Foundation for Successful, Provider Value-Based Payment Programs](https://947440.us16.myftpupload.com/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 CCGroup’s patent for measuring physician efficiency. “No other competitor to CCGroup is allowed to offer our analytics,
- [National Specialist Panels Uphold Established Clinical MedMarker Protocol Ranges™](https://947440.us16.myftpupload.com/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 basis. This effort helps to ensure the validity of established Clinical MedMarker Protocol Ranges™,” stated Dr.
- [Primary Care Physicians Can Better Manage the Total Cost of Care for an Accountable Care Population](https://947440.us16.myftpupload.com/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 accountable care and value-based reimbursement programs. “On average, PCPs are involved in treating 57% of all prevalent
- [Leading Health Systems Move Forward in the Development of Quantitative Clinical Pathways](https://947440.us16.myftpupload.com/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 condition. For example MRI of spine
- [“Targeted Gatekeeper Model” for Specialist Referrals Gains Momentum Under Accountable Care and Value-Based Reimbursement](https://947440.us16.myftpupload.com/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. “Research studies showed that gatekeeper
- [“Targeted Gatekeeper Model” Provides High Return on Investment Through Improved Patient Cost and Quality of Care](https://947440.us16.myftpupload.com/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 back pain, degenerative joint disease,
- [Court Upholds $12M IP Infringement Verdict](https://947440.us16.myftpupload.com/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 or an answer on ongoing
- [CCGroup Develops Acceptable Clinical Protocol Range for MRI of Spine in Treating Low Back Pain](https://947440.us16.myftpupload.com/ccgroup-develops-acceptable-clinical-protocol-range-for-mri-of-spine-in-treating-low-back-pain/) - San Mateo, CA. – CCGroup is pleased to announce that the company has developed an acceptable clinical protocol range for utilizing MRI of Spine in diagnostics for routine, non-complicated low back pain (LBP) patient episodes-of-care. CCGroup BullsEye™ statistical analysis and methodologies (protected by U.S. Patent No. 8,301,464) strongly correlates MRI of Spine as the key diagnostic service to orthopedists’ efficiency
- [Cost and Utilization Management](https://947440.us16.myftpupload.com/cost-and-utilization-management/) - Example Project: Implement Managed Care Networks We were involved in developing and implementing some of the first preferred provider organizations (PPOs) on the west coast for self-insured employers. We contracted with hospitals, physician groups, and solo practice physicians. We worked with third party administrators (TPAs) to administer the PPO network and other cost management programs
- [Disease and Population Management](https://947440.us16.myftpupload.com/disease-and-population-management/) - Example Project: Implement Disease Management Programs We were involved in designing and implementing one of the first disease management programs in the country. The client was a multi-state, energy supply company. We worked closely with ERISA (Employee Retirement Income Security Act of 1974) attorneys to ensure appropriate patient confidentiality, patient contact, program implementation, and program

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- [Best Healthcare Analytics Software on the Market](https://947440.us16.myftpupload.com/) - Our healthcare analytics software improves health providers, physicians, plans & hospitals' healthcare efficiency & quality of care for better patient outcomes. 
- [Products - Home](https://947440.us16.myftpupload.com/marketbasket-system/) - About our software – CCGroup Marketbasket System™ The CCGroup Marketbasket System™ includes solutions for provider and network management, as well as member and population management. For provider efficiency (cost-of-care) profiling, the CCGroup Marketbasket System™ compares individual physician efficiency to a specialty-specific peer group using a standardized set of prevalent medical condition episodes to minimize the
- [Case Studies](https://947440.us16.myftpupload.com/case-studies/) - Case studies of our healthcare analytics software CCGroup Marketbasket System™ improving our clients' healthcare efficiency & quality of care.
- [Contact Us](https://947440.us16.myftpupload.com/contact/) - CCGroup 1700 S Amphlett Blvd, Suite 150 San Mateo, CA 94402 Phone: (650) 286-4100 Fax: (650) 286-4102 Email: salesteam@cavegroup. Healthcare analytics software.
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- [Products](https://947440.us16.myftpupload.com/ccgroup-marketbasket-system/) - Our healthcare analytics software CCGroup Marketbasket System™ compares physician efficiency to a peer group to improve healthcare efficiency & quality of care.
- [About Us](https://947440.us16.myftpupload.com/about-us/) - CCGroup is a healthcare analytics software & consulting company focused on improving the efficiency and effectiveness/quality in the healthcare delivery system.
- [Shop](https://947440.us16.myftpupload.com/shop/)
- [Clinical Protocol Range Guides](https://947440.us16.myftpupload.com/clinical-protocol-range-guides/) - Clinical MedMarker™ Protocol Range Guide Abstract: Clinical MedMarker™ Protocol Ranges are achievable and appropriate ranges of clinical practice for the services and procedures that drive higher cost of care by specialty type (i.e., MedMarkers™). The MedMarker™ services are also process-of-care quality measures that are well-defined by clinical guidelines, for many common medical conditions. The Clinical
- [CCGroup Marketbasket System™ Modules](https://947440.us16.myftpupload.com/ccgroup-marketbasket-system-modules/) - CCGroup Marketbasket System™ The CCGroup Marketbasket System™ includes solutions for provider and network management, as well as member and population management. For provider efficiency (cost-of-care) profiling, the CCGroup Marketbasket System™ compares individual physician efficiency to a specialty-specific peer group using a standardized set of prevalent medical condition episodes to minimize the influence of patient health
- [User Access](https://947440.us16.myftpupload.com/user-access/) - [wp_user width='360px' login_redirect='https://947440.us16.myftpupload.com/clinical-protocol-range-guides/']
- [PDF Test 2](https://947440.us16.myftpupload.com/pdf-test-2/)
- [Terms and Conditions](https://947440.us16.myftpupload.com/terms-and-conditions/) - 1. GRANT OF USE. 1.1 Subject to CCGroup’s right to terminate set forth in Section 4 below, CCGroup hereby grants User a limited, non-exclusive right to use and access the Guide solely in connection with User’s personal, non-commercial uses, subject to all the terms and conditions of this User Agreement. The permission granted to you
- [PDF Test](https://947440.us16.myftpupload.com/pdf-test/) - [pdf-embedder url="https://947440.us16.myftpupload.com/wp-content/uploads/2019/03/increase-product-sales.pdf"]
- [Portfolio](https://947440.us16.myftpupload.com/portfolio/) - Product / Service Categories Project Name Talk about this portfolio piece--who you did it for and why, plus what the results were (potential customers love to hear about real-world results). Discuss any unique facets of the project--was it accomplished under an impossible deadline?--and show how your business went above and beyond to make the impossible
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