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Leverage complete data, meaningful analytics, and Milliman’s ACO expertise to analyze provider performance.
Milliman ACO Builder
Standard CMS Medicare ACO reports lack the richness necessary to identify top performers, develop win-win partnerships, set participant budgets, and accurately evaluate the economic impact of program changes and contract renewals.
Get the insights you need to optimize your ACO. Milliman ACO Builder helps you understand participant-level performance inside and outside your ACO, including contributions to surpluses or losses. You always have access to up-to-date and complete information that leverages Milliman analytics and ACO expertise.
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 our complete understanding of Medicare ACO rules: assignment, risk scores, regional efficiency, trends, the financial settlement, and QP status.
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 scores. 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 FFS data available for all participating physicians.
Incorporate results from Milliman ACO Builder into your own financial workbooks and projections.
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 of the tool, you can customize your reports even more, and easily integrate them with your internal workbooks or other Excel based tools.
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 modeling.
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.
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Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
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