RowdMap, Inc. is honored to be recognized for our pioneering work in identifying providers and networks that are ready to succeed in pay for value and risk-bearing arrangements.
Louisville, KY (PRWEB) January 01, 2016
The United States Patent and Trademark Office awarded RowdMap, Inc. a federal trademark certificate for Risk-Readiness®for Software as a service (SAAS) featuring the assessment and management of healthcare practices, facilitates, organizations, and provider networks (Reg. No. 4,838,661).
This service mark reflects RowdMap, Inc.'s work in helping identify providers and networks capable of succeeding in risk-bearing and pay for value arrangements. Thirty cents of every dollar goes to no-value care, or care that costs more and has higher risks, but delivers no additional positive outcomes. No-value care drives billing in the Fee for Service medical economic model where providers are paid more for more, and higher intensity care but success in pay for value comes from identifying and mitigating no-value care.
The Centers for Medicare and Medicaid Services (CMS) has publicly stated goals for moving from Fee for Service models to pay for value arrangements and has begun enforcing these models and has released public data to help payers and providers navigate this change: http://go.cms.gov/1R5ItBt
RowdMap uses government data, which includes the practice and pricing patterns of individual physicians, groups, specialists, systems, hospitals, and post acute facilities to identify the no-value and low-value care from procedures, prescriptions, and referrals. These patterns are tied to specific dollar amounts and measured and adjusted across national and regional benchmarks.
Providers who practice care while mitigating no-value care are risk-ready, or good candidates for pay for value programs and risk arrangements such as capitation. Providers who practice care in line with Fee for Service incentives for no-value care can identify its specific drivers such as individual physicians, procedures, prescriptions and referrals in order manage them to improve their Risk-Readiness®.
Leading payers and providers use RowdMap, Inc.'s information about the Risk-Readiness®of their providers and their competition to design networks, select and manage pay for value programs, contract and negotiate risk arrangements, enter markets and focus growth, and design products and configure benefits across Commercial Exchanges and Marketplaces, Medicare Advantage and Medicare and Medicaid programs. RowdMap, Inc.'s information about the Risk-Readiness®of virtually every provider in the country is available the next day, with no IT requirements or integration needed.
RowdMap, Inc. has helped health plans and providers achieve Risk-Readiness® in 42 states covering over 75MM members and as a result has won the Ernst and Young EY Entrepreneur Of The Year® and has been featured by the Department of Health and Human Services for success in using this public data to help payers and providers achieve success in this transformation: http://bit.ly/1mL9zCx
"Sometimes coining a term is important, especially in the midst of changing payment models and information that leads to success in this exciting transition. RowdMap, Inc. is honored to be recognized for our pioneering work of identifying providers and networks that are ready to succeed in pay for value and risk-bearing arrangements," said Melanie Rosenthal, Chief Executive Officer at RowdMap, Inc.
Those interested in learning more are encouraged to contact RowdMap, Inc. directly or visit RowdMap, Inc. at http://www.RowdMap.com
About RowdMap, Inc. :
An Ernst and Young EY Entrepreneur Of The Year® winner, RowdMap helps health plans, government payers, providers, and hospital systems develop Risk-Readiness® strategies to excel as they transition from fee-for- service to pay-for value. As CMS sunsets fee-for-service payments, RowdMap's Risk-Readiness® Platform helps payers and providers identify and manage unwarranted and unexpected variation. RowdMap identifies ideal provider arrangements based on provider practice patterns and population characteristics within a geography. Payers and providers then use RowdMap to build strategies around these new risk relationships. RowdMap helps them enter new markets, segment populations, identify waste, design products, and understand referral patterns. RowdMap's platform comes preloaded with government benchmarks out of the box no IT integration required. RowdMap's Risk-Readiness® Platform works across all market segments and has significantly larger returns than traditional, medical economic approaches.