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Health Solutions

Public sector/government

OVERVIEW

Applying actuarial skills in the public sector and government

INSIGHT

Milliman public sector/government insight

Article

Six challenges to successful adoption of value-based care in the Middle East

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

Article

The role of reimbursement mechanisms and payment adjustors in value-based healthcare

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.

Presentation

Care management impact model

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.

Presentation

Actuarial cost projection model

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.

Presentation

International best practice benchmarks

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

Case Study

A case study: Developing a capitation arrangement within a regional NHS system

This paper presents a case study to discuss the process and considerations for developing an Accountable Care System in a regional National Health Service system.
Article

Can we be of service to the NHS?

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.

Case Study

Population health and value-based care collaboration: Primary care case study

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

Milliman Inpatient Benchmarking Tool

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Value of care categories (VCCs)

SERVICES

Milliman public sector/government services

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