Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Discover intelligent digital solutions to help improve outcomes, manage costs, and solve the toughest healthcare challenges.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Financial modeling & industrialization
Insurance risk assessment
Retirement & Benefits
Deliver on the promises of the past and create smart solutions for the future.
Compensations & benefits
Benefit plan evaluation
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
Auto policy underwriting
Software performance enhancement
Mortgage platform for investments & reinsurance
Solvency II reporting & compliance
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Leverage complete data, meaningful analytics, and Milliman’s ACO expertise to analyze provider performance.
Milliman ACO Builder
Innovative payment models hold great promise to improve outcomes and quality while managing costs. Achieving these goals requires in-depth performance insights—something you can’t get from standard Medicare ACO reports.
Milliman ACO Builder quantifies participant-level performance inside and outside your ACO, based on comprehensive data that’s always current. Through Excel or a web-based solution, it helps you improve partnerships with providers and payers to make healthcare more affordable, build the best network for your patient population, and excel in value-based care.
Milliman ACO Builder is more than just a dashboard. It is a full pro-forma projection model with Milliman’s unparalleled ACO expertise and the complete Medicare experience data is built in. You can also connect with the same consultants who created ACO Builder to tailor it to your needs and interpret results for your organization.
Milliman ACO Builder is available for all major Medicare risk programs including:
See how Milliman ACO Builder helps you gain a deeper understanding of ACO performance.
Enter the name of your ACO to see the underlying provider groups displayed on the map. The color indicates each provider group’s cost efficiency, which you can use to help identify and optimize your ACO’s performance.
View high-level results for benchmark years and sort provider groups to compare performance.
Project provider experience to the performance year to forecast shared savings or loss.
Adjust program parameters and trends to tailor the results to your specific situation.
Understand financial impact at the individual ACO-participant level to establish win-win partnerships and support long-term financial success. See how current ACO participants are measuring up and recruit new ones using accurate and complete data.
Build scenarios using different combinations of ACO participants and instantly see the estimated financial impact.
Optimize your ACO based on in-depth analysis for factors including assignment, risk scores, regional efficiency, trends, the financial settlement, and Qualified Advanced APM Participant (QP) incentives.
Unpack the complex effects of program changes and contract renewals to improve your ACO’s financial stability.
Review performance drivers including historical expenditures, risk scores, risk-adjusted trends, regional efficiency, and QP incentives. Examine settlement results for different ACO configurations by risk track, risk corridor, and attribution methodology.
Incorporate physician performance into your planning process using complete Medicare data, available for all participating physicians.
Incorporate results from Milliman ACO Builder into your own financial dashboards and forecasts.
With the Power BI version of ACO Builder, you can start running scenarios immediately through your web browser — no software installation required. With the Excel version, you fully customize your reports and easily integrate them with your internal Excel tools and other solutions.
Considerations for state agencies interested in TCOC
We explore the voluntary alignment requirements for global/professional direct contracting and ACO REACH, along with considerations for beneficiary engagement.
With Milliman ACO Builder, ACOs can improve strategic decision-making and
performance using provider-level financial benchmarks.
In this series of papers, Milliman consultants examine the changes to the MSSP program and provide comprehensive information to help interpret these changes, exploring even the most detailed nuances and implications.
Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.
Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modelling.
Implement effective alternative payment strategies in collaboration with Medicare, including shared savings arrangements.
Improve care quality and cost efficiency with the leading independent Medicare experts.
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Powerful healthcare data and state-of-the-art analytics delivered on a cloud platform
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Ask the tough questions. We’re ready for them.