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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 organisations 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 organisations
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.…
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) represents a…
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
Estimate expected claims costs and model healthcare utilisation with Milliman’s Health Cost Guidelines™, an industry gold standard.
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.
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.