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Publications
Read their latest work
Article
Milliman analysis of total cost of care benchmarks
19 March 2025 - by Adam Singleton, Chris Tilley, Stuart D. Rachlin
We present a comparison of Blue Cross Blue Shield experience for commercial large group PPO networks to medical experience benchmarks.
Article
High-level impacts of the proposed CMS-HCC risk score model on Puerto Rico Medicare Advantage payments for 2024
08 March 2023 - by Rob Pipich, Luis Maldonado, Stuart D. Rachlin
We provide an overview of the expected high-level impacts of the proposed changes by Medicare plan or population type for MA beneficiaries in the Commonwealth of Puerto Rico.
Article
Implications of COVID-19 on health insurance
17 August 2021 - by David Bahlinger, Stuart D. Rachlin
We surveyed 20 key players to gauge the impact of the pandemic on the industry, providing a benchmark for all on various elements of the business.
Article
Assessing the potential revenue impact to oncology practices under a cancer drug therapy bundled reimbursement model
20 March 2017 - by Stephen George, Stuart D. Rachlin
This report evaluates the potential impact to provider reimbursement under alternative oncology payment structures and illustrates the inherent variabilities across patients using a simplified alternative oncology payment bundle for cancer drug treatments and related professional services.
