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After years of experimentation with new ways of paying for healthcare, what have we learned?
Many experts agree that fee-for-service payment models misalign incentives and drive up costs.
Scaling alternate payment models in the context of risk, regulation, and reality requires a willingness to experiment and a clear vision of attainable goals. At Milliman, we’re dedicated to helping the industry move forward.
Your decisions are only as good as your data. And your data is only as good as your platform. That’s why over 300 leading healthcare organizations trust MedInsight to get the data right.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Accountability and costs in accountable care organizations
Program summary, opportunities, risks, and key considerations
The Coding Intensity Factor (CIF) is intended to establish revenue neutrality in…
Considerations for state agencies interested in TCOC
As the CMS Innovation Center revises how the ACO REACH Rate Book handles…
This article focuses on some of the challenges that Medicaid payers (including…
In recent years, CMS has implemented a variety of episode-based payment models.…
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Optimize your benefits cost management strategy.
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
Demystify payer and provider contract pricing data for better transparency across the industry.
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Ask the tough questions. We’re ready for them.