RowdMap is a payer-provider, value-based analytics company employing Risk-Readiness® Benchmarks to assist health plans, physician groups, and hospital systems identify, quantify, and reduce low-value care. Payers and physicians use RowdMap’s physician and population health benchmarks to create strategies that put the highest performing physicians at the center of networks and then design products, organize clinical programs, and coordinate sales and marketing around them. RowdMap is excited to join Cotiviti to expand solutions in supporting healthcare transition to value. Combined solutions target over $600 billion of $900+ billion in waste, abuse and low-value care.
The RowdMap story has an unlikely beginning — it all began with a dare. RowdMap’s founders had years of experience working with member and claim-level data, predictive models, and provider profiling from the Dartmouth Atlas for Unwarranted Variation. One day we bumped into Todd Park, who was beginning his work championing data liberation as the Chief Technology of Officer of the United States Department of Health and Human Services. He dared us to do something great. Todd Park went on to become the CTO of the United States. The liberated government data has become an essential input to success in pay-for-value. RowdMap has gone on to exceed all expectations.
RowdMap strongly supports health data liberation movement and has even filed several Freedom of Information Act (FOIA) requests to make government health care data public. RowdMap is a proud member of the Health Data Consortium, an organization that advocates for broader releases of government health care data. RowdMap also works closely with the National Committee on Vital and Health Statistics and the Robert Wood Johnson Foundation to encourage additional releases of government health data. RowdMap's use of government health data has been profiled by NPR and Dell's Tech Page One.
Cotiviti Adds Complementary Value-Based Payer Solution to Broaden Focus on Eliminating Waste in Healthcare Expenditures.
“The trend toward value-based care increases the complexity associated with payment and creates a greater need for Cotiviti’s payment accuracy services,” said Doug Williams, Cotiviti’s Chief Executive Officer. “With the addition of RowdMap, we will be able to offer adjacent solutions to payment accuracy that together target over $600 billion of the estimated $900+ billion in waste and abuse in healthcare expenditures. Cotiviti can now offer our health plan clients an even more comprehensive portfolio of solutions to address medical and payment policies, provider network and contract management, and value-based care and reimbursement models. Together, we will be able to provide differentiated value to our clients through enhanced capabilities and expanded solutions.”
“RowdMap is very excited to join with Cotiviti,” said Melanie Rosenthal, RowdMap’s Chief Executive Officer. “Together we offer complementary solutions that provide tangible medical cost improvements. In addition to a shared commitment and focus on delivering results to our clients, our common values and missions unite us as we collaboratively work to improve the healthcare system by reducing unnecessary costs and supporting the transition from volume to value.”
For a summary of how payers and providers work with RowdMap's Risk Risk-Readiness® Benchmarks to create high-value care and succeed in value-based payment, see Managed Care's article: "As CMS Opens the Data Vault, Entrepreneurs Build a How-to-Use-It Guide" - bit.ly/CMSHowToGuide
"CMS’s data-liberation movement is helping to accelerate the transition to value- and risk-based payment systems. For payers and providers, the trick is knowing what to do with the data."
"Having the data is one thing. Knowing how to use it is another. Applying its computational power to the data, RowdMap puts providers into high-, medium-, and low-value buckets compared with peers in their markets, using specific benchmarks to show why outliers differ from the norm. RowdMap has developed 'no-value care' and population-health profiles for every physician and hospital in the country."
"The beauty of it all is that as fee for service fades into the rearview mirror, the road ahead is paved not only with good intentions but with data that are publicly available, waiting to be harnessed and not locked away in a proprietary database."
Patients researching Best Hospitals or Doctors on www.usnews.com will be able to access information on treatments by geographic location to identify whether physicians in their region tend to over-treat. In addition to putting patients at additional risk these procedures account for millions in wasted health care spending each year.
"It's no secret that patients often undergo unnecessary procedures that can be dangerous and costly. Through our collaboration with RowdMap, we are providing patients with meaningful information about these no- or low-value treatments, allowing them to make better, more informed decisions about their doctors, hospitals and medical care."