Diagnosis Related Group-Based Readmission Profiling
Practical Analytic Approaches to Healthcare Challenges Introduction High rates of unplanned readmissions indicate poor quality of care or gaps in care coordination, and bring an increased financial burden on the healthcare system.[i] The major reasons for unplanned readmissions include premature discharge from initial hospitalization, gaps in post-operative care, unnecessary inpatient admissions from the Emergency Department, … Diagnosis Related Group-Based Readmission Profiling
2019 Milliman Medical Index
Key findings of the 2019 MMI include: Healthcare costs are increasing at a slower rate, by historical standards. Back in the early 2000s, healthcare expenses for the MMI family of four were growing by 10% a year. Now, nearly 20 years later, growth rates are at record-low levels. We estimate that costs grew by only … 2019 Milliman Medical Index
Drug Cost Trends 2015 to 2017 & The Top 20 Drugs
Practical Analytic Approaches to Healthcare Challenges The Centers for Medicare and Medicaid Services (CMS) identifies prescription drugs as one of the major components of U.S. national health expenditures, after hospital care and physician services.1 The US Assistant Secretary for Planning and Evaluation (ASPE ; principal advisor to the Secretary of the U.S. Department of Health … Drug Cost Trends 2015 to 2017 & The Top 20 Drugs
Antidepressant Monotherapy in Bipolar Disorder: Prescription Patterns
Practical Analytic Approaches to Healthcare Challenges Mental disorders are considered among the leading causes of ill health and disability worldwide. The United States spends an estimated $201 billion on mental disorders, making it the most costly medical condition in the country.1 Bipolar disorder is a common mental health condition, and the US has the highest … Antidepressant Monotherapy in Bipolar Disorder: Prescription Patterns
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.
