HEALTHCARE FINANCIAL MANAGEMENT

Dynamic Reimbursement Modeler

Simplify healthcare provider reimbursement negotiations / calculations and streamline revenue management while enhancing accuracy and reliability.

Milliman Dynamic Reimbursement Modeler

The challenge

Overcoming provider contract and payment complexity

Estimating provider fee-for-service reimbursement contracts extends from negotiation to implementation and monitoring, demanding significant resources and time. Determining healthcare claim allowed amounts presents a significant hurdle in revenue cycle management. Intricate reimbursement contracts and the sensitivity of calculations to small changes compound the challenge.

The solution

Simplifying healthcare reimbursement with a comprehensive fee-for-service modeling solution

The Dynamic Reimbursement Modeler simplifies the process of pricing provider reimbursement contracts. Users have an intuitive method to input reimbursement terms and claims data. The tool assigns expected payment amounts and generates comprehensive documentation for review and traceability. With a user-friendly interface, systematic calculations, and scalable modules, it streamlines revenue cycle management for healthcare to drive bottom-line results.

BENEFITS

Milliman Dynamic Reimbursement Modeler benefits

Enhance operational efficiency

Streamline reimbursement calculations and reduce resource allocation, allowing analysts to focus on evaluating results rather than working on manual setup.

Improve accuracy

Minimize errors and increase confidence in reimbursement calculations with a proven physician and hospital reimbursement model.

Accelerate results

Optimize project timelines with efficient, transparent, scalable processing in a robust solution, built on years of Milliman expertise.

FEATURES

Milliman Dynamic Reimbursement Modeler features

Intuitive interface

Manage the end-to-end analysis effortlessly, reducing the need for specialized expertise.

Transparent documentation

Show calculation processes and provide a checking workbook for further analysis, promoting transparency and thorough review.

Scalability

Manage multiple contracts efficiently, with the support of specialized modules designed to handle large volumes of reimbursement agreements and data.

Expert support

Access Milliman’s subject matter expertise in all aspects of provider payment.

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