ACO analytics
Milliman ACO Builder
Leverage complete data, meaningful analytics, and Milliman’s ACO expertise to analyze provider performance.
Modeling ACO participant performance requires the right data and expertise
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.
Instant insights into past and future ACO participant performance
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.
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 our complete understanding of Medicare ACO rules: assignment, risk scores, regional efficiency, trends, the financial settlement, and QP status.
Evaluate economic impact
Unpack the complex effects of program changes and contract renewals to improve your ACO’s financial stability.
Milliman ACO Builder features
In-depth metrics
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.
External comparisons
Incorporate physician performance into your planning process using complete Medicare FFS data available for all participating physicians.
Traceable calculations
Incorporate results from Milliman ACO Builder into your own financial workbooks and projections.
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 of the tool, you can customize your reports even more, and easily integrate them with your internal workbooks or other Excel based tools.
Milliman ACO Builder expertise
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