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.
Can you trust your data?
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.
Alternative Payment Models 101
Developing alternative payment models under MACRA
Healthcare costs & ACOs
Accountability and costs in accountable care organisations
Milliman alternate payment model insight
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ACO Care Management Impact Model
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
ACO Insight
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Milliman Health Trend Guidelines
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Bundled Payment Reporting Interface
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
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