Milliman

Presentation: Demonstrating and Reporting ROI/Savings/Value to Employers Including PBMs, Health and Wellness, Care Management Programs, and Customized Network
Suzanne Taranto with Milliman provides insights into the expectations employers have for ASO offerings and how health plans must provide information to document their performance.

Medicare Advantage risk scores: RAPS versus EDS
Medicare Advantage organizations (MAOs) need to understand the RAPS and EDS risk score methodology differences, the potential impact on their business, and the sources for any discrepancies in diagnoses between the sources, in order to best position themselves to minimize financial and competitive disruption.

Audio: Using analytics to assess the 6 categories of waste
According to the Institute of Medicine (IOM), over 30% of every dollar in healthcare can be attributed to waste. While multiple initiatives have helped identify ways to reduce waste, they have not provided an outline for a more direct approach. The 2010 IOM study identified six targeted categories of waste: Fraud and abuse; missed prevention; unnecessary services; inefficiently delivered services; prices that are too high; and excess administrative costs. In this session, we discuss analytical methods to comprehensively assess these six categories and provide actionable ways to reduce medical waste.

Presentation: Using analytics to assess the six categories of waste, and to provide actionable tools that make a difference
According to the Institute of Medicine (IOM), over 30% of every dollar in healthcare can be attributed to waste. While multiple initiatives have helped identify ways to reduce waste, they have not provided an outline for a more direct approach. The 2010 IOM study identified six targeted categories of waste: Fraud and abuse; missed prevention; unnecessary services; inefficiently delivered services; prices that are too high; and excess administrative costs. In this session, we discuss analytical methods to comprehensively assess these six categories and provide actionable ways to reduce medical waste.

Presentation: Building the Bid - The Evolution of the MA Bid Process
Eric Goetsch from Milliman review the then and now: how the process and team involved has changed in the last three years, and the implications for your plan. Alliance member trends: what questions are brought to the table and where a commonalities in the answers from the Alliance member plans Product development and lifecycle - emerging trends.

Audio: Building the Bid - The Evolution of the MA Bid Process
Eric Goetsch from Milliman review the then and now: how the process and team involved has changed in the last three years, and the implications for your plan. Alliance member trends: what questions are brought to the table and where a commonalities in the answers from the Alliance member plans Product development and lifecycle - emerging trends.

Recording: Formulary Design & Management in Commercial and Medicare Programs
Millliman will share timely information regarding formulary design and management in Medicare Part D, Commercial and Commercial Marketplace programs.

Presentation: Formulary Design and Management
Michael Hunter, PharmD, RPH, Pharmacy Management Consultant and Matt Kranovich, FSA, MAAA, Consulting Actuary with Milliman present timely information regarding formulary design and management in Medicare Part D, Commercial and Commercial Marketplace programs.

Recording: MA-PD bids are due in a month ... here's your 30 day checklist
MA-PD bids are due on June 6th. Most MA-PD organizations are in the middle of finalizing their key strategic decisions and looking forward to wrapping up the bid. However, there are a number of bid details organizations should focus on over the remaining month to ensure a smooth bid submission

Presentation: MA-PD bids are due in a month ... here's your 30 day checklist
MA-PD bids are due on June 6th. Most MA-PD organizations are in the middle of finalizing their key strategic decisions and looking forward to wrapping up the bid. However, there are a number of bid details organizations should focus on over the remaining month to ensure a smooth bid submission