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ACO analytics

Milliman ACO Builder

Leverage complete data, meaningful analytics, and Milliman’s ACO expertise to analyze provider performance.

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The challenge

Getting the data you need to make ACO value a reality

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.

The solution

Succeed in value-based care with industry-leading insights

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:

  • Medicare Shared Savings Program (MSSP)
  • Direct Contracting (DC)
  • Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)
  • Medicare Advantage

Simplify ACO insights

See how Milliman ACO Builder helps you gain a deeper understanding of ACO performance.

Map view

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.

Historical view

View high-level results for benchmark years and sort provider groups to compare performance.

Future projections

Project provider experience to the performance year to forecast shared savings or loss.

Flexibility

Adjust program parameters and trends to tailor the results to your specific situation.

BENEFITS

Milliman ACO Builder benefits

Reduce risk and improve financial health

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.

Forecast the financial settlement

Build scenarios using different combinations of ACO participants and instantly see the estimated financial impact.

Benefit from Milliman expertise

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.

Evaluate economic impact

Unpack the complex effects of program changes and contract renewals to improve your ACO’s financial stability.

FEATURES

Milliman ACO Builder features

In-depth metrics

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.

External comparisons

Incorporate physician performance into your planning process using complete Medicare data, available for all participating physicians.

Traceable calculations

Incorporate results from Milliman ACO Builder into your own financial dashboards and forecasts.

Features

Analyze data with flexibility

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.

INSIGHT

Milliman ACO Builder expertise

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Case study

Annual renewal considerations in the Medicare Shared Savings Program (MSSP)

 How can ACOs maximize savings through participation decisions?

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Article

What’s CMS’ AHEAD Model?

Considerations for state agencies interested in TCOC

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Article

Why voluntary alignment may not meet your ACO’s expectations

We explore the voluntary alignment requirements for global/professional direct contracting and ACO REACH, along with considerations for beneficiary engagement.

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Infographic

Provider-level data can tell ACOs a different story

With Milliman ACO Builder, ACOs can improve strategic decision-making and performance using provider-level financial benchmarks.

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Case study

Performance monitoring and growth support in MSSP and ACO REACH

This case study shows how Milliman ACO Builder can help ACOs develop data-driven strategies to measure provider performance and identify opportunities for continuous improvement in programs under the Centers for Medicare and Medicaid Services. 
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Series

MSSP: The series

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.

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