CareJourney

JSON twin: https://www.healthaidb.com/software/carejourney.json

Company Name

CareJourney

Product URL

https://carejourney.com

Company URL

https://carejourney.com

Categories

• clinical Care
• administrative Operations
• patient Facing
• diagnostic Support
• health Data Analytics
• provider Performance Management
• network Management
• population Health
• value-based Care
• data Integration
• Clinical
• Administrative
• Diagnostic
• Analytics
• Provider Performance
• Healthcare Data Integration

Summary

CareJourney is a healthcare analytics platform that provides value-based care organizations with insights to optimize network performance and improve patient outcomes.

Description

CareJourney offers a comprehensive analytics platform that leverages extensive claims data to assist healthcare organizations in building and managing high-performing networks, enhancing provider performance, and effectively managing at-risk populations. The platform integrates data from Medicare, Medicaid, Medicare Advantage, and commercial claims, covering over 300 million beneficiaries and more than 2 million providers nationwide. Key features include market and cohort intelligence, network building, contracting support, referral management, provider performance improvement, and at-risk population management. In mid-2024, CareJourney was acquired by Arcadia, combining CareJourney's data and analytics with Arcadia's healthcare data platform and workflow tools to further advance value-based care initiatives. ([healthcareittoday.com](https://www.healthcareittoday.com/2024/07/18/arcadia-acquires-carejourney-to-enable-high-performing-networks-and-value-based-care-success/?utm_source=openai))

Api Available

yes

Certifications

• HITRUST CSF Certification

Company Founding

2014

Company Offices

• United States

Compliance

• HIPAA
• HITRUST

Customers

• CareFirst BlueCross BlueShield
• Humana
• Cigna
• Aetna
• UnitedHealthcare
• Blue Cross Blue Shield of Michigan
• Blue Cross Blue Shield of North Carolina
• Blue Cross Blue Shield of Illinois
• Blue Cross Blue Shield of Texas
• Blue Cross Blue Shield of Florida
• Blue Cross Blue Shield of Arizona
• Blue Cross Blue Shield of Georgia
• Blue Cross Blue Shield of Alabama
• Blue Cross Blue Shield of Tennessee
• Blue Cross Blue Shield of South Carolina
• Blue Cross Blue Shield of Oklahoma
• Blue Cross Blue Shield of Kansas City
• Blue Cross Blue Shield of Nebraska
• Blue Cross Blue Shield of Montana
• Blue Cross Blue Shield of Wyoming
• Blue Cross Blue Shield of North Dakota
• Blue Cross Blue Shield of South Dakota
• Blue Cross Blue Shield of Idaho
• Blue Cross Blue Shield of Utah
• Blue Cross Blue Shield of Colorado
• Blue Cross Blue Shield of New Mexico
• Blue Cross Blue Shield of Hawaii
• Blue Cross Blue Shield of Alaska
• Blue Cross Blue Shield of Puerto Rico

Data Residency

Data is controlled and processed in the United States (US-based processing)

Data Standards

• FHIR (Blue Button / BCDA)
• Claims data standards (CMS claims formats)

Deployment Model

• SaaS
• Hosted
• Data-as-a-Service

Features

• Nationwide claims analytics (Medicare, Medicare Advantage, Medicaid, Commercial)
• Provider performance benchmarking and physician profiles
• Episode-based cost and quality scoring
• Market and cohort intelligence
• Network analysis and referral/leakage tracking
• Population segmentation and risk stratification
• Cohort-level KPIs and care gap identification
• Pre-built episodes and episode groupers
• Enriched provider taxonomy and affiliation data
• Automated data delivery (SFTP, Snowflake, API)
• Data ingestion and normalization (Open Data Factory)
• Custom cohort and simulation tools for contracting/network design

Id

SW1051

Integration Partners

• Arcadia
• QGenda
• athenaOne
• Personify Health
• Definitive Healthcare
• Intergy
• Oracle Enterprise Healthcare Analytics
• Cerner CareTracker
• PointClickCare Senior Living Platform

Integrations

• Snowflake (data warehouse delivery)
• SFTP (automated delivery)
• API delivery endpoints
• CMS BCDA / Blue Button 2.0 (claims data ingestion)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb
• consumer

Optional Modules

• Data-as-a-Service (packaged/enriched datasets)
• Custom segmentation and cohort modeling
• Automated delivery connectors (Snowflake/SFTP/API)
• Benchmarking/episode extender packages

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Data processing governed by customer agreements
• De-identification/aggregation for shared analytics
• BAA available

Product Code

SW1051

Product Name

CareJourney

Ratings

• 4.5 out of 5 on G2

Regions Available

• United States

Related Urls

• https://elion.health/products/carejourney

Release Year

2014

Security Features

• Encryption (in transit and at rest)
• Access controls / role-based access
• Audit logging
• Commercially reasonable physical, electronic, procedural safeguards

Specialties

• General Healthcare
• Value-based Care
• Healthcare Analytics
• Provider Performance
• Network Management
• Population Health
• Healthcare Data Integration
• Healthcare Data Analytics
• Healthcare Data Science
• Healthcare Data Management
• Healthcare Data Platforms
• Healthcare Data Solutions
• Healthcare Data Services
• Healthcare Data Providers
• Healthcare Data Vendors
• Healthcare Data Companies
• Healthcare Data Firms
• Healthcare Data Organizations
• Healthcare Data Enterprises
• Healthcare Data Startups

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• patients
• admins
• payers
• healthcare organizations
• value-based care organizations
• healthcare providers
• healthcare payers
• life sciences organizations

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• CareJourney's services and ease of use are highly appreciated by users, though some suggest improvements in customization options.
• Users find CareJourney's application interface user-friendly and effective in connecting people, with no significant dislikes reported.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "CareJourney",
  "company_name": "CareJourney",
  "product_url": "https://carejourney.com",
  "company_url": "https://carejourney.com",
  "related_urls": [
    "https://elion.health/products/carejourney"
  ],
  "product_code": "SW1051",
  "summary": "CareJourney is a healthcare analytics platform that provides value-based care organizations with insights to optimize network performance and improve patient outcomes.",
  "description": "CareJourney offers a comprehensive analytics platform that leverages extensive claims data to assist healthcare organizations in building and managing high-performing networks, enhancing provider performance, and effectively managing at-risk populations. The platform integrates data from Medicare, Medicaid, Medicare Advantage, and commercial claims, covering over 300 million beneficiaries and more than 2 million providers nationwide. Key features include market and cohort intelligence, network building, contracting support, referral management, provider performance improvement, and at-risk population management. In mid-2024, CareJourney was acquired by Arcadia, combining CareJourney's data and analytics with Arcadia's healthcare data platform and workflow tools to further advance value-based care initiatives. ([healthcareittoday.com](https://www.healthcareittoday.com/2024/07/18/arcadia-acquires-carejourney-to-enable-high-performing-networks-and-value-based-care-success/?utm_source=openai))",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "health Data Analytics",
    "provider Performance Management",
    "network Management",
    "population Health",
    "value-based Care",
    "data Integration",
    "Clinical",
    "Administrative",
    "Patient-facing",
    "Diagnostic",
    "Analytics",
    "Provider Performance",
    "Network Management",
    "Population Health",
    "Value-based Care",
    "Healthcare Data Integration"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "consumer"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers",
    "healthcare organizations",
    "value-based care organizations",
    "healthcare providers",
    "healthcare payers",
    "life sciences organizations"
  ],
  "specialties": [
    "General Healthcare",
    "Value-based Care",
    "Healthcare Analytics",
    "Provider Performance",
    "Network Management",
    "Population Health",
    "Healthcare Data Integration",
    "Healthcare Data Analytics",
    "Healthcare Data Science",
    "Healthcare Data Management",
    "Healthcare Data Platforms",
    "Healthcare Data Solutions",
    "Healthcare Data Services",
    "Healthcare Data Providers",
    "Healthcare Data Vendors",
    "Healthcare Data Companies",
    "Healthcare Data Firms",
    "Healthcare Data Organizations",
    "Healthcare Data Enterprises",
    "Healthcare Data Startups"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2014",
  "deployment_model": [
    "SaaS",
    "Hosted",
    "Data-as-a-Service"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Nationwide claims analytics (Medicare, Medicare Advantage, Medicaid, Commercial)",
    "Provider performance benchmarking and physician profiles",
    "Episode-based cost and quality scoring",
    "Market and cohort intelligence",
    "Network analysis and referral/leakage tracking",
    "Population segmentation and risk stratification",
    "Cohort-level KPIs and care gap identification",
    "Pre-built episodes and episode groupers",
    "Enriched provider taxonomy and affiliation data",
    "Automated data delivery (SFTP, Snowflake, API)",
    "Data ingestion and normalization (Open Data Factory)",
    "Custom cohort and simulation tools for contracting/network design"
  ],
  "optional_modules": [
    "Data-as-a-Service (packaged/enriched datasets)",
    "Custom segmentation and cohort modeling",
    "Automated delivery connectors (Snowflake/SFTP/API)",
    "Benchmarking/episode extender packages"
  ],
  "integrations": [
    "Snowflake (data warehouse delivery)",
    "SFTP (automated delivery)",
    "API delivery endpoints",
    "CMS BCDA / Blue Button 2.0 (claims data ingestion)"
  ],
  "data_standards": [
    "FHIR (Blue Button / BCDA)",
    "Claims data standards (CMS claims formats)"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST"
  ],
  "certifications": [
    "HITRUST CSF Certification"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Access controls / role-based access",
    "Audit logging",
    "Commercially reasonable physical, electronic, procedural safeguards"
  ],
  "privacy_features": [
    "Data processing governed by customer agreements",
    "De-identification/aggregation for shared analytics",
    "BAA available"
  ],
  "data_residency": "Data is controlled and processed in the United States (US-based processing)",
  "customers": [
    "CareFirst BlueCross BlueShield",
    "Humana",
    "Cigna",
    "Aetna",
    "UnitedHealthcare",
    "Blue Cross Blue Shield of Michigan",
    "Blue Cross Blue Shield of North Carolina",
    "Blue Cross Blue Shield of Illinois",
    "Blue Cross Blue Shield of Texas",
    "Blue Cross Blue Shield of Florida",
    "Blue Cross Blue Shield of Arizona",
    "Blue Cross Blue Shield of Georgia",
    "Blue Cross Blue Shield of Alabama",
    "Blue Cross Blue Shield of Tennessee",
    "Blue Cross Blue Shield of South Carolina",
    "Blue Cross Blue Shield of Oklahoma",
    "Blue Cross Blue Shield of Kansas City",
    "Blue Cross Blue Shield of Nebraska",
    "Blue Cross Blue Shield of Montana",
    "Blue Cross Blue Shield of Wyoming",
    "Blue Cross Blue Shield of North Dakota",
    "Blue Cross Blue Shield of South Dakota",
    "Blue Cross Blue Shield of Idaho",
    "Blue Cross Blue Shield of Utah",
    "Blue Cross Blue Shield of Colorado",
    "Blue Cross Blue Shield of New Mexico",
    "Blue Cross Blue Shield of Hawaii",
    "Blue Cross Blue Shield of Alaska",
    "Blue Cross Blue Shield of Puerto Rico"
  ],
  "user_reviews": [
    "CareJourney's services and ease of use are highly appreciated by users, though some suggest improvements in customization options.",
    "Users find CareJourney's application interface user-friendly and effective in connecting people, with no significant dislikes reported."
  ],
  "ratings": [
    "4.5 out of 5 on G2"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2014",
  "integration_partners": [
    "Arcadia",
    "QGenda",
    "athenaOne",
    "Personify Health",
    "Definitive Healthcare",
    "Intergy",
    "Oracle Enterprise Healthcare Analytics",
    "Cerner CareTracker",
    "PointClickCare Senior Living Platform"
  ],
  "id": "SW1051",
  "slug": "carejourney",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/carejourney.json"
  }
}