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Milliman Medicare resources
Direct Contracting: A program summary and comparison with MSSP and NGACO
This paper provides an in-depth technical evaluation of Direct Contracting, based on the Centers for Medicare and Medicaid Services request for applications, along with comparisons to its sister programs—Medicare Shared Savings Program Accountable Care Organization (ACO) and Next Generation ACO.
State of the 2020 Medicare Advantage industry
This report highlights key changes in member premiums and benefits for the 2020 Medicare Advantage (MA) market, as well as the contributing factors for, and the magnitude of, the increase in value added within the MA market each year from 2016 to 2020.
Prospective and retrospective assignment in MSSP and beyond
What are the potential effects of prospective and retrospective assignment on key accountable care organization metrics under the Medicare Shared Savings Program?
Medicare FFS Direct Contracting: Financial benchmark observations
What are the similarities and differences in the financial benchmark methodology between the Direct Contracting payment model and the Medicare Shared Savings Program?
Medicare Advantage: Strategies to increase plan revenue
This paper explores the various components of Medicare Advantage revenue, avenues Medicare Advantage organizations may explore to increase their Part C and Part D revenues, and key considerations for each approach.
Medicare Advantage: Eight critical considerations for every organization as ESRD eligibility expands in 2021
This paper provides a brief overview of the upcoming end-stage renal disease Medicare Advantage eligibility change.
Milliman Medicare products
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Health Cost Guidelines Suite
MedInsight
Milliman Advanced Risk Adjusters
ACO Care Management Impact Model
ACO Insight
Bundled Payment Reporting Interface
Milliman Medicare services
Milliman Medicare resources
Medicare Advantage Uniformity Flexibility benefit offerings
A review of the Uniformity Flexibility benefits offered during the contract year 2019 plan year.
Optimizing hospital partnerships
Learn why Health Alliance Plan relies on the MedInsight Hospital Evaluation and Comparison System (HECS) tool for hospital contracting.
Milliman Healthcare Analytics Blog
We dig deep into rich Milliman MedInsight data to bring you insights you won’t find anywhere else, plus updates on the state of regulatory affairs.
Identifying high-cost members
Do you know which members are likely to drive costs in the coming years? Learn how you can find out—before it’s too late to do anything about it.