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 organizations trust MedInsight to get the data right.
Alternative Payment Models 101
Developing alternative payment models under MACRA
ACO Insight
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Milliman alternate payment model insight
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Milliman Payer Network Check
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
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.
Milliman ACO Builder
Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Milliman DEPTH
Optimize your benefits cost management strategy.
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.
Milliman Price Transparency Solutions for Payers and Providers
Demystify payer and provider contract pricing data for better transparency across the industry.
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Product development and pricing: Healthcare
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.