Report
Independent review of Covera Health’s methodology for quantifying financial impact of the Centers of Excellence program
08 January 2024
Covera Health (Covera) developed a methodology to calculate the difference in total medical and pharmacy costs occurring after specific radiologic imaging for providers on a roster of radiology Centers of Excellence (CoE), compared with providers not on the list. Covera commissioned Milliman to conduct a review of this methodology to determine its appropriateness. The report:
- Describes Covera’s approach to designating CoE providers
- Outlines Covera’s approach to quantifying the financial impact of CoE providers compared with non-CoE providers
- Discusses potential limitations of the approaches used by Covera
- Outlines important caveats and limitations of Milliman’s review of Covera’s methodology
This report was commissioned by Covera Health.
About the Author(s)
Independent review of Covera Health’s methodology for quantifying financial impact of the Centers of Excellence program
We provide feedback on the actuarial appropriateness Covera’s methodology on measuring certain costs of radiologic imaging events for CoE and non-CoE providers.
Austin Barrington, Deana Bell, Meng Sun, Sam Yih