Providers
Reducing costs, improving outcomes
Milliman provider solutions
Alternative payment models
Milliman providers insight
Commercial reimbursement benchmarking 2025
Commercial payment rates for medical services as a percentage of Medicare fee-for-service rates

Milliman Qualified Entity Report
Explore healthcare system performance as it relates to social determinants of health.
Six considerations for developing an oncology payment model
We offer life sciences companies six things to consider when developing an oncology payment model, from defining the population to ensuring high-quality care.
Provider network optimization – Finding value in the details
With a comprehensive picture of provider quality, cost, accessibility, and affiliations, payers and providers themselves can make informed decisions.

Variation in skilled nursing facility practice patterns: Opportunities exist for more efficient management
There is significant variation in skilled nursing facility (SNF) average length of stay (ALOS) and readmission rates among Medicare fee-for-service (FFS) beneficiaries admitted to a SNF following an acute inpatient hospital stay.

Shadow bundles: A big opportunity for MSSP and REACH ACOs
New data provided to accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) and ACO Realizing Equity, Access, and Community Health (REACH) models can provide opportunities for managing hospital and specialist referrals, but the limitations of the data should be carefully considered.
Hospital financial results from the FY2022 CMS Medicare cost reports
Hospital margins, occupancy, and Medicaid reimbursement
CMS Making Care Primary Model: Should I participate?
Program summary, opportunities, risks, and key considerations
MSSP minimum savings/(loss) rates: A double-edged sword
For ACOs participating in MSSP, the minimum savings/(loss) rate (MSR/[MLR]) can offer protection against losses.
Interactions between the CIF and the +/- 3% risk score floor and ceiling in ACO REACH
The Coding Intensity Factor (CIF) is intended to establish revenue neutrality in the Realizing Equity, Access, and Community Health (REACH) program and causes all accountable care organizations (ACOs) to pay for increases in program-wide risk scores.