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At the heart of population health analytics
Milliman Advanced Risk Adjusters
When your challenges include financial and care decisions, Milliman Advanced Risk Adjusters® (MARA) helps you face those challenges with confidence through better understanding of the needs and risks of your population.
MARA population health models and tools offer person-centric, clinically meaningful risk profiles. Discover risk by health service categories to:
Managing behavioral health requires a “whole person” perspective. Having a better understanding of how behavioral health conditions can contribute to clinical outcomes allows organizations to staff by priority, refer appropriately, and measure the value of clinical interventions.
Assess and compare risk among employers, providers, accountable care organizations (ACOs), and lines of business, while gaining insight to support budgeting, pricing, underwriting, risk adjustment, payment, and program measurement.
Gain predictive insight for risk-sharing programs, value-based contracts, and performance measurement systems. Monitor concurrent risk over time to track changes in patient risk profiles, segment patients whose costs will increase and stay ahead during the performance period.
MARA Rising Risk models differentiate, classify, and allow users to assemble cohorts of members by whether their cost will stay the same, decrease, or rise. MARA results offer greater precision for classifying populations, identifying risk drivers and enabling better decisions for care programs, staffing needs to achieve results, and measuring success.
Visualize MARA results within your current reporting platform, or load MARA output into pre-designed MARA templates using Microsoft Power BI.
Gain deeper insight with more comprehensive clinical profiles, highlighted chronic and complex conditions, and granular risk predictions across eight service categories. Identify manageable events based on inpatient and emergency department risk scores. Improve selection for care planning and care transformation using MARA Rising Risk predictions.
Prioritize members who are both high cost and clinically complex. In a Medicare population study, members identified with just one Complexity Indicator were expected to be twice as costly as members with one chronic condition and three times more expensive than members with a single medical condition.
Accelerate decision making, leverage MARA application programming interfaces (APIs) for the cloud to speed up processing.
Providers are capturing data on the social needs of their patients using ICD-10-CM Z codes. When coded in medical encounters, MARA adds these important social needs to member profiles. MARA’s Clinical Classification System includes 10 social categories identifying non-medical factors that may influence health status. To learn more about the importance of social factor coding visit: IMPROVING THE COLLECTION OF Social Determinants of Health (SDOH) Data with ICD-10-CM Z Codes (cms.gov).
When you need to estimate the final risk score for individuals based on a partial year of data, MARA’s 4CAst models complete and annualize risk scores.
Benefit from the highest overall performance among 11 other claims-based predictive risk models.
Engage the team behind MARA directly to help with implementation, technical support, and user training so you can get the most value from your investment. Add Milliman consulting expertise for critical financial applications, including value-based payment, underwriting workflow, care analytics, and predictive analytics.
License only the models you need from the extensive MARA Library. Select models based on your organization’s business applications, population types, and available data.
Stay current with rapid changes in healthcare coding and treatment thanks to easy code updates for new drugs and diagnosis codes.
Select this time-saving feature when processing two or more years of historical data. Observe risk changes over time with this efficient feature.
With the ability to add unique variables and customize predictions, the MyMARA™ data science team can tailor models to your needs. Add a wide range of data including economic, social, biometric, employee shift, industry, job class, electronic medical records, and health reimbursement arrangements.
Nutzen Sie die branchenführende Plattform für Data Warehousing und Analytik im Gesundheitswesen.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Models for commercial, Medicaid and Medicare populations.
With the addition of Rising Risk in MARA, customers are able to more accurately…
We tested two prospective diagnosis-based MARA models intended for use on…
MARA’s comprehensive CxOPTml risk adjustment model was selected to analyze…
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