The successful adoption of value-based care in the Middle East faces important challenges.

This paper considers the role of reimbursement mechanisms, and particularly diagnosis-related groups price adjustors, in directing general policy and specifically in the role of value-based healthcare.

This model helps quantify the impact of care management programmes and redirecting care within the system on overall healthcare resource utilisation. Our tailored approach allows a range of different managed care programmes to be modelled.

Using our proprietary Health Cost Guidelines grouper, Milliman’s population cost model (PCM) helps you standardise measures of cost and utilisation across services and populations.

Milliman’s International Best Practice Benchmarks help quantify potentially avoidable admissions and beddays within a healthcare system to identify potential value opportunities.

Actuarial skills are immensely relevant in regional National Health Service environments and can be used to inform the design of risk-based accountable care system contracts.

This paper discusses the primary care redesign of seven US practices over the course of three years, including their reported utilisation and savings achievements.