Article
28 February 2025 - by Emma Kramer, Caroline Li, Cory Gusland
We estimate how increases in Medicare Shared Savings Program raw risk scores will affect the overall federal expenditures for the program and Medicare Advantage.
Article
18 June 2024 - by Lisa Ruszkowski, Adam Laurin, Cory Gusland
To ensure success with Medicaid value-based payments, it is essential states invest time and energy up front in strategic planning.
Article
16 May 2024 - by Cory Gusland, Dustin Grzeskowiak, Tabish Shaikh
Medicare accountable care organizations looking to expand advanced primary care services should consider the recently announced CMS ACO Primary Care Flex model.
Article
05 April 2024 - by Anders Larson, Cory Gusland, Austin Kennedy, Hayden Chromy
In our third performance driver study of the Medicare Shared Savings Program, we identify regional efficiency as an important characteristic for ACO total savings.
Article
27 July 2023 - by Chris Smith, Noah Champagne, Cory Gusland
We summarize notable proposed rule changes to MPFS related to risk scores, the financial benchmark calculation, and assignment methodology.
Article
02 December 2022 - by Noah Champagne, Cory Gusland, Chris Smith
We note impactful changes related to downside risk, financial benchmark methodology, and shared savings/losses included in the 2023 Medicare Physician Fee Schedule Final Rule.
Article
10 May 2022 - by Jessica Kildow, Cory Gusland, Emma Kramer, Caroline Li
Milliman evaluated the financial impact of three alternative financial benchmark adjustment methodologies that aim to mitigate the adverse consequence to ACOs.
Article
10 November 2021 - by Jason Karcher, Cory Gusland
The potential for increased health savings or spending will depend strongly on how entities manage the process of independent dispute resolution.
Article
15 September 2021 - by Jason Karcher, Cory Gusland
Gain insight to our qualifying payment amount calculations under the No Surprise Act.
Article
04 August 2021 - by Anders Larson, Mackenzie Egan, Robert Richards, Cory Gusland
We analyzed recent MSSP results for ACOs, and found that drivers of recent success are quite different from our report in 2015, and in some cases the opposite.