Introduction to Carevoyance

Carevoyance connects medtech sales and marketing teams with the right healthcare professionals (HCPs) and healthcare organizations (HCOs) diagnosing and treating their target patient population, facilitating more productive interactions that drive measurable sales growth. The intuitive platform enables effective market segmentation, timely sales targeting, and automated sales collateral creation.

Common uses for this product

  • Effectively segment your HCP or site-of-care targets for more precise messaging at each stage of the patient journey. 
  • Help your reps showcase the impact your device can have within an account, IDN, or regional market with data-driven visualization and reporting tools.

  • Evaluate market segments, accounts, and overall opportunity as you look to expand your market footprint. 

Before we dive into the details, let's review the foundation of your Carevoyance experience, Care Clusters! 

  • Care Clusters are a powerful way to improve targeting and improve upon one-dimensional "number of services" per code. Care Clusters capture scenarios involving multiple codes, intersection and exclusivity of codes, as well as more advanced business rules. Carevoyance groups ICD, DRG and CPT codes together into patient cohorts to create Care Clusters. These are created for you and will reflect codes relevant to your therapy area! Here are some examples of what Care Clusters can do:

    • Break down a code into its component procedure types.

    • Count instances where multiple codes (either of the same or different types) occurred together on a single claim.

    • Understand reimbursement impact for special scenarios where codes receive an adjusted reimbursement when paired together.

    • Differentiate a code based on the billing setting in which it occurred (i.e. office vs facility, or outpatient vs inpatient).

    • Combine codes (either of the same or different types) into a single count.

    • Count service lines where a specific diagnosis was used.

    • Report on the utilization of a "procedure" across care settings ("knee replacements" combining inpatient, outpatient, and ASC settings).

Let's explore!

Carevoyance is compiled of various searches to help you build targeted lists of providers, individual profiles to dive deeper into an individual providers details, and instant interactive reports

Searches

Within the Carevoyance product, there are a few different search methods available to build your ideal list of providers. Keep in mind that access to these searches is dependent on your company's subscriptions! Each search method is outlined below (and highlighted in purple in the example image); to give you an idea of what data is available. 

  • Segments: Pre-created groupings of providers and organization characteristics that help you quickly search for your ideal markets. Segment searches are available right on the home page. Note: Segments are not available for all Carevoyance accounts. If you do not have access to Segments, this search will not apply to you.

  • Provider lists: After running a search you can create a provider list. These allow you to quickly view those same providers over and over directly from the home page. Note: Provider lists are most useful to users with Field View specific use cases. 

  • Saved Searches: Saved searches are customized lists of providers, organizations, and systems that you and other users at your organization have saved after running a search. Use these to quickly access searches over and over straight from your home page. 

  • Codesets: Codesets are coding combinations comprised of one or multiple Care Clusters, diagnosis and/or procedure codes. These can be created for you to help you efficiently search for all relevant providers based on the coding combinations that have been layered into each codeset. Running a codesets search can be done right from your home page. 

  • Recent Searches: Use the recent searches on your home page to view and navigate to the latest 20 searches you have recently created within the product. 

  • Market View: Define specific market segments, view national trends across targeting areas, share customized targeting lists with sales teams, and run analyses to get a 360-degree view of the market, patient population, and key trends. Note: Market View is only available to those companies with the associated subscription. 

  • Field View: Set your patient cohort criteria, establish sales territories, and turn your sales teams loose. Empower your sales team to accelerate revenue generation with direct access to insightful territory-specific targeting, pre-call planning intelligence, and sales collateral creation in an easy-to-use tool. Note: Field View is only available to those companies with the associated subscription.

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Profiles

Every provider type tracked in Carevoyance will have an individual profile. Within a profile you can select a specific codeset, and/or timeframe that will allow you to customize various pages within the profile. Included in the profile will be granular information on treatment statistics, facilities, patient pathways, physicians, and more! Each page can be found across the top of the profile for easy navigation (highlighted in purple in the image below). The profile pages are outlined below, to give you an idea of what is available to you! Note: Profile pages may vary depending on the type of provider you are viewing! 

  • Overview (organization profiles): Sourced from the Medicare Cost Report (MCR), provides a snapshot of the clinical and financial metrics year-over-year, as well as payor mix and reimbursement values at the facility level. 

  • Overview (individual profiles): Sourced from the Medicare Fee For Service (FFS) file, showcases overall patient demographics, as well as top procedures and diagnoses they've done overall. It will also provide the number of patients they've billed for any relevant codesets you select. 

  • Treatment Statistics: Encompasses your relevant care clusters to compare volumes at the state or national level. As well as the ability to view all CPT, and DRG codes that the facility billed. These lists are exportable to Excel. 

  • HCAHPS (organization profiles only): Compares the profiled facility's performance on the Healthcare Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to the regional average, and the top ten facilities in their market. 

  • Facilities (individual profiles only): Provides you with all healthcare organizations that the provider has billed claims through (via the codeset you've selected). It will rank these facilities by volume of patients and also show how many patient days they've spent at each entity. 

  • Physicians (organization profiles only): After selecting a codeset view the top providers that have billed for diagnoses or procedures relevant to the selected codeset. 

  • Patient Pathways: Allows you to view both patient sources and destinations for the profiled facility. These are also referred to as inferred referrals! Patient sources are patients coming into the facility, and patient destinations are where the profiled facility is referring out to. 

  • Sunshine Act (individual profiles only): Sourced from the Centers for Medicare and Medicaid (CMS) open payments data, this page allows you to see payments providers have received from potential competitors. It will give you the amount they've received, the companies they've received it from, payment type, and more, to give you a better edge of who they're engaging with before setting up a meeting.

  • Patients (individual profiles only): Showcases patient population metrics for the profiled provider, sourced from the Medicare FFS file. This will breakdown high level demographics such as age, gender, insurance, and more!

  • Leadership (organization profiles only): Access key executives at the facility and their contact information. 

  • ROI Calculator: Input installation and procedure volumes to provide prospective buyers context that will enrich your sales conversations. 

 

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Reports

Instantly generate interactive reports that show hospital and physician case loss, patient treatment destinations, market share, case retention, patient pathways, and much more. Reports are customized based on your patient population. The reports are outlined below, to give you an idea of what is available to you! Note: The Carevoyance platform includes 19 report templates. Let your designated customer success team know which reports will be most impactful for your teams, and we’ll work with you to customize those. 

  • Care Cluster details: Detailed information on selected care clusters. 

  • Case loss: Shows which facilities performed procedures of interest for patients who came through the focal facility first.

  • Case retention: Shows instances where patients initially treated by the focal provider subsequently returned and were treated again at the focal provider for the care defined by a codeset.

  • Discharge metrics: Provides discharge destination metrics for a variety of code types

  • Facility demographics: A short demographic overview of this facility. 

  • HCAHPS Survey Comparison: The facility’s HCAHPS metrics.

  • Hospital service area: Hospital services areas (HSAs) are local health care markets for hospital care. An HAS is a collection of zip codes whose residents receive most of their hospitalizations from the hospitals in that area.

  • Largest regional facilities: Regional hospital competition. 

  • Market share: Shows the market share for specified procedures within a specified region.

  • Patient pathways: Shows providers who sent patients to this provider to be treated.

  • Patient treatment destinations: Where patients both go for treatment and originate from.

  • Physician affinity: See where physicians affiliated with a hospital are spending their time.

  • Physician demographics: Information about a physician’s practice, most common diagnoses and procedures, location, and more.

  • Procedure summary: Counts for all services, reimbursement, payor, and length of stay metrics.

  • Readmissions: Readmission rates for procedures

  • Sunshine Act payments: Payments from companies for this provider.

  • Top affiliated facilities: The top facilities where a physician practices, for a codeset.

  • Top affiliated physicians: The top providers affiliated with the hospital, for a codeset.

  • Total ROI opportunity: Total opportunity given regional demographics and cases loss.

 

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Carevoyance is compiled of searches to help you build targeted lists of providers as well as profiles to dive deeper into individual provider details! There are multiple types of providers that make up Carevoyance, including individuals, organizations, and systems

  • Individuals represent healthcare providers (HCPs). Individual providers are medical professionals who studies, diagnoses, and treats various injuries, illnesses, and other ailments. They can work in various locations, including doctors’ offices, hospitals, clinics, and other healthcare organizations. Physicians can also specialize in a multitude of specialties. When searching for individuals, your search results will list the providers that billed claims relevant to your search criteria, and provide information on affiliations, claims breakdown, and more!
  • Organizations represent healthcare organizations (HCOs). Organizations may include hospitals, physician groups, surgery centers, long term care facilities, clinics, and/or imaging centers. When searching for organizations, your search results will list the organizations that billed claims relevant to your search criteria, and provide information on affiliations, claims breakdown, and more!

  • Systems represent health systems, also known as an Integrated Delivery Networks (IDN) and networks. Systems are entities that currently or previously owned or had operational control over two or more hospitals. Systems may also maintain ownership of a variety of other firm types offering post-acute or ambulatory sites of care. When searching for systems, your search results will list the systems that billed claims relevant to your search criteria, and provide information on affiliations, claims breakdown, and more!

Now that you have an understanding of what is included in Carevoyance, it's time to dive deeper. Be sure to check out the other learning materials here in the Help Center!