Healthcare Data Analytics Blog

CMS Pathways to Success: Highlights of Final Rule Changes

Practical Analytic Approaches to Healthcare Challenges On December 31st, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a final rule change to the current Medicare Shared Savings Program (MSSP) structure called “Pathways to Success”. While this rule looks to accomplish additional goals, the main focus is to transition Accountable Care Organizations (ACOs) into CMS Pathways to Success: Highlights of Final Rule Changes

Congress asked nine questions about single payer. Here are 27 answers.

In recent weeks, single-payer healthcare proposals have begun to emerge in Congress. While much of the attention during the single-payer discussion has been on specific proposals, Milliman has tried to take a broader view—via questions from a Congressman. On January 8, 2019, Rep. John Yarmuth (D-Ky.), the Chairman of the House Budget Committee, sent a Congress asked nine questions about single payer. Here are 27 answers.

The Value in Retrospective Data & Reporting in Provider Analytics

Practical Analytic Approaches to Healthcare Challenges Technology continues to advance almost daily and data sources and real-time data access are rapidly expanding in healthcare. These advances, combined with the shift from fee-for-service to value based reimbursement, mean healthcare analytics and reporting are changing too, and access to timely data is critical. But do all these The Value in Retrospective Data & Reporting in Provider Analytics

ACO Rule Change: Impact of Proposed Rule on Track 1 and New MSSP ACOs/The BASIC Track

Practical Analytic Approaches to Healthcare Challenges The new rule proposed by the Centers for Medicare & Medicaid Services (CMS) on August 9, 2018 would result in significant changes to the way the Medicare Shared Savings Program (MSSP) works for new Accountable Care Organizations (ACOs) and those currently in a one-sided risk model. Under the current ACO Rule Change: Impact of Proposed Rule on Track 1 and New MSSP ACOs/The BASIC Track

ACO Proposed Rule Change: Non-Track Changes

Practical Analytic Approaches to Healthcare Challenges On August 9th, 2018, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule change to the current Medicare Shared Savings Program (MSSP) structure. Along with updates to the tracks that are available to Accountable Care Organizations (ACOs) through the program, a number of new features and ACO Proposed Rule Change: Non-Track Changes