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Risikoadjustierung

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Risikoadjustierungslösungen von Milliman

Die präziseste Risikoadjustierung der Branche

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Ihre Top-Experten für Risikoadjustierung

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INSIGHT

Milliman Insight Risikoadjustierung

White Paper

ACA risk adjustment management

Many issuers in the ACA don’t have a comprehensive risk adjustment strategy—leading to lost opportunities and less-certain financial outcomes. In this series, we provide guidance on creating a risk adjustment program to address these gaps.

White Paper

Risk adjustment in CMS episode-based payment models: A resource guide

In recent years, CMS has implemented a variety of episode-based payment models. This paper provides a high-level guide to the unique and complex risk arrangements for providers under four of these models.

White Paper

Medicare Advantage risk score primer

Quickly learn the fundamentals of risk scoring for Medicare Advantage plans, including the impact of diagnosis submission on payment timing.

Issue Brief

Functional-based risk adjustment for Medicaid long term care

Understand the benefits of shifting from location-based to functional risk adjustment in Medicaid Managed Long Term Services and Supports (MLTSS) programs.

Video

How Monterey is reinventing healthcare

When confronted with rising costs and shrinking reimbursement, leaders at a hospital in California took a bold step to ensure that they could continue serving the needs of the community in a financially sustainable way.

VERWANDTE PRODUKTE

Risikoadjustierungsprodukte von Milliman

Analytik im Gesundheitswesen

MedInsight

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Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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Insurance risk assessment

Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)

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HEALTHCARE RISK ADJUSTMENT

EDGE ASSIST

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