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MEDICARE ADVANTAGE PROVIDER PERFORMANCE DATA

Milliman Medicare Advantage Network Intelligence (MANI)

Leverage provider performance data to strategically develop provider networks that more efficiently meet the needs of Medicare Advantage patients.

ACO Builder: Medicare Advantage Network Intelligence banner, a bar chart
THE CHALLENGE

Sourcing Medicare Advantage provider opportunities and measuring network success

A lack of reliable Medicare Advantage (MA) provider data prevents MA plans, Accountable Care Organizations (ACOs), and ACO aggregators from strategically choosing which plans and providers to work with for optimal financial efficiency.

THE SOLUTION

Vital network intelligence that supports strategic development

Comfortably form strategic partnerships with extensive MA performance data provided by Medicare Advantage Network Intelligence (MANI), part of Milliman’s ACO Builder® suite of products. Armed with performance data for providers outside of your current networks, you can understand how your organization stacks up and cultivate a network that allows you to continue providing patients with high-quality, cost-effective healthcare.

BENEFITS

Benefits of MANI

Determine optimal MA plans

Assess the performance of existing network providers to choose the best plans for your strategy.

Identify the most efficient provider networks

Find out which MA markets boast the most streamlined and sustainable provider networks.

Target high-performing providers

Make effective additions to your provider network by putting cost, utilization, and risk scores to work.

Understand the effectiveness of your network

Get ahead by comparing the performance of your provider network to peers in the industry.

FEATURES

MANI features

Network intelligence and development

Through an advanced attribution model developed by Milliman, MANI harnesses difficult-to-access data, giving you deep insights to guide network decisions.

Medicare Advantage focused

MANI specifically targets MA data, including cost, utilization, and risk scores, only available through the Virtual Resource Data Center (VRDC).

Economic insights

MANI allows you to forecast the true economic impact of adding new providers to your network and contracting with MA plans.

Modular design flexibility

With the help of MANI’s modular design, data is delivered to users in a format that works for them, such as flat files or pre-populated scorecards.

We’re here to help

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