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ACO utilization & cost evaluation
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Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
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Deliver on the promises of the past and create smart solutions for the future.
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Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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Population health management has been a healthcare industry concept for decades, though it has yet to be realised. The Affordable Care Act created multiple incentives to drive adoption of population health management. What have the results been? And what have we learned?
Looking at health across populations promises to improve objectivity regarding outcomes and enable new, innovative strategies to deliver greater benefits to larger numbers of people. At the same time, measuring population-level outcomes can be complex, requiring critical thinking and intelligent use of data.
Learn how the field of quantitative CT imaging is advancing to combat three of the four top leading causes of death in the U.S. Milliman consultant Bruce Pyenson joins the Prevent Cancer Foundation in their annual workshop virtually, covering the use of imaging biomarkers for lung cancer, COPD, and cardiovascular disease.
See how we're helping clients reduce costs and improve patient outcomes
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.
This guide can assist managers in thinking through the practical components of a PHM programme, from overall objectives and definitions, through to the people, processes and technology enablers that are so critical for success.
We summarise different methodologies adopted by healthcare stakeholders to measure medication adherence, and offer some advancements in standardizing this critical metric.
With an urgent need to bring cost inflation into a sustainable range, we examine best practices in reducing spending, while maintaining or improving patient outcomes.
In this paper, we outline a process to design effective PHMPs that will help hospital systems develop a step-by-step approach to care redesign that can improve the health of a population, improve the patient experience, and…
Population health management has been an industry concept for decades, though it has yet to be fully implemented by the healthcare industry.
This paper discusses the primary care redesign of seven US practices over the course of three years, including their reported utilization and savings achievements.
Analyse performance against national and regional best practices for strategic deployment of care management resources.
Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Estimate expected claims costs and model healthcare utilisation with Milliman’s Health Cost Guidelines™, an industry gold standard.
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
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