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Multiple sclerosis: New perspectives on the patient journey08 April 2016 - By Bruce S. Pyenson and Feng Han and and Michael Mastroianni and Michele M. Berrios - Article

Multiple sclerosis continues to be one of the top specialty management priorities for health plans and pharmacy benefit managers.

Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy22 September 2015 - By Bruce S. Pyenson and Michele M. Berrios and Perry J. Pickhardt and Tia Goss Sawhney - Article

This paper compares the Medicare population cost of colorectal cancer (CRC) screening of average risk individuals by CT colonoscopy (CTC) versus optical colonoscopy (OC).

Evaluating opportunity in the CMMI BPCI program: Comparison of PAC utilization to benchmarks06 August 2014 - By Bruce S. Pyenson and Kathryn V. Fitch and Michele M. Berrios and Tyler Engel - Article

Benchmarking can help providers reach cost-reduction goals.

The two Medicare ACO programs: Medicare Shared Savings and Pioneer – risk and actuarial differences08 July 2012 - By Bruce S. Pyenson and Kathryn V. Fitch and Kosuke Iwasaki and Michele M. Berrios - Article

The key financial and risk differences between MSSP and Pioneer.

Commercial cost variation by hospital referral region12 August 2010 - By Bruce S. Pyenson and Sara Goldberg and Michele M. Berrios - Article
Examination of commercial insurance data highlights importance of negotiated provider reimbursement.
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman