The challenge
Getting the data you need to make ACO value a reality
Innovative payment models hold great promise to improve outcomes and quality while managing costs. Achieving these goals requires in-depth performance insights—something you cannot get from standard Medicare ACO reports.
The solution
Succeed in value-based care with industry-leading insights
Milliman MedInsight ACO Builder quantifies participant-level performance inside and outside your ACO, based on comprehensive data that is always current. Through Excel or a web-based solution, it helps you improve partnerships with providers and payers to make healthcare more affordable, build the best network for your patient population, and excel in value-based care.
ACO Builder is more than just a dashboard. It is a full pro-forma projection model with Milliman’s unparalleled ACO expertise, and the complete Medicare experience data is built in. You can also connect with the same consultants who created ACO Builder to tailor it to your needs and interpret results for your organization.
ACO Builder is available for all major Medicare risk programs including:
- Medicare Shared Savings Program (MSSP)
- Direct Contracting (DC)
- Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)
- Medicare Advantage
Simplify ACO insights
See how ACO Builder helps you gain a deeper understanding of ACO performance
Map view
Enter the name of your ACO to see the underlying provider groups displayed on the map. The color indicates each provider group’s cost efficiency, which you can use to help identify and optimize your ACO’s performance.
Historical view
View high-level results for benchmark years and sort provider groups to compare performance.
Future projections
Project provider experience to the performance year to forecast shared savings or loss.
Flexibility
Adjust program parameters and trends to tailor the results to your specific situation.
Benefits
Turn-data driven insights into stronger performance, smarter decisions, and financial stability
Reduce risk and improve financial health
Understand financial impact at the individual ACO-participant level to establish win-win partnerships and support long-term financial success. See how current ACO participants are measuring up and recruit new ones using accurate and complete data.
Forecast the financial settlement
Build scenarios using different combinations of ACO participants and instantly see the estimated financial impact.
Benefit from Milliman expertise
Optimize your ACO based on in-depth analysis for factors including assignment, risk scores, regional efficiency, trends, the financial settlement, and Qualified Advanced APM Participant (QP) incentives.
Evaluate economic impact
Unpack the complex effects of program changes and contract renewals to improve your ACO’s financial stability.
Features
Explore comprehensive tools to analyze, benchmark, and customize your ACO performance
In-depth metrics
Review performance drivers including historical expenditures, risk scores, risk-adjusted trends, regional efficiency, and QP incentives. Examine settlement results for different ACO configurations by risk track, risk corridor, and attribution methodology.
External comparisons
Incorporate physician performance into your planning process using complete Medicare data, available for all participating physicians.
Traceable calculations
Incorporate results from ACO Builder into your own financial dashboards and forecasts.
Analyze data with flexibility
With the Power BI version of ACO Builder, you can start running scenarios immediately through your web browser — no software installation required. With the Excel version, you fully customize your reports and easily integrate them with your internal Excel tools and other solutions.
ACO Builder resources
Top 3 takeaways from NAACOS Spring 2025 Conference
Key ideas from NAACOS Spring 2025 include strategic differences between payment models, leveraging actuarial insights and VBC specialists.
Expanding value-based care: The essential role of specialists in long-term success and patient outcomes
Learn about the current state of VBC, the difficulties of engaging specialists and the impact of specialty episodes of care and effective PAC management
