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ALTERNATE PAYMENT MODELS

Aligning incentives

After years of experimentation with new ways of paying for healthcare, what have we learned?

Alternatives only matter if they work

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.

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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.

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Healthcare costs & ACOs

Accountability and costs in accountable care organizations

Insight

Milliman alternate payment model insight

Products

Related Milliman products

Benchmarking
HEALTHCARE UNIT COST INSIGHTS

Milliman Commercial Reimbursement Benchmarks

Access detailed, market-based provider commercial reimbursement benchmarks in multiple views, including Medicare FFS rates and allowed per RVU conversion factor.

Healthcare analytics
Procurement management

Milliman Payer Network Check

Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.

Alternative payment
Alternative payment

ACO Care Management Impact Model

Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.

ACA utilization and cost evaluation
ACO utilization & cost evaluation

ACO Insight

Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.

Healthcare analytics
ACO analytics

Milliman ACO Builder

Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.

Healthcare cost modeling
Healthcare cost modeling

Health Cost Guidelines Suite

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.

Healthcare analytics
Employer reporting

Milliman DEPTH

Optimize your benefits cost management strategy.

Healthcare cost modeling
Healthcare cost modeling

Milliman Health Trend Guidelines

Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.

Claims data analytics
Claims data analytics

Bundled Payment Reporting Interface

Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.

Healthcare analytics
Price transparency analytics

Milliman Price Transparency Solutions for Payers and Providers

Demystify payer and provider contract pricing data for better transparency across the industry.

Services

Related Milliman services

Product development and pricing: Healthcare

We’re here to help

Ask the tough questions. We’re ready for them.

We’re here to help

Ask the tough questions. We’re ready for them.

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