Data analytics support, contract reconciliation/settlements

How do you compare on key metrics against industry norms? Do disparate databases make comprehensive reporting difficult? Do you have a standard process for keeping your existing data warehouse current and accurate? We can help—our proprietary software along with consulting services will help you improve existing processes and create useful new solutions. Our clients see the results, from enhanced data integration and quality to defining common data dimensions across the enterprise. Whether it’s claim-based analytics, decision-support tools, analytical reporting, or enterprise data warehousing, our goal is the same: better business performance. That’s what good data can do—once you know how to put it to work.

Both CMS and commercial insurers are now doing bundled payments. This sounds simple, but in reality is quite complicated. Milliman uses data analytics to model variations, so that providers can understand the range of payments and determine what is acceptable and what is not. Providers need to know how to price services and, by delving into claims data, can understand why costs are higher at different places.

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