Healthcare Town Hall

• #healthcare RT @MedInsight: A Fresh Perspective on Employer Group Reporting http://t.co/9wxk2IXxsy
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• RT @ljiacong: Milliman Chronic Conditions Hierarchical Groups (CCHGs) http://t.co/WWx2yfjKpg
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• The 2013 Milliman Medical Index, which measures healthcare costs for the typical American family of four, will be released Weds. May 22nd.
  (about 1 day ago)
• RT @MedInsight: A Fresh Perspective on Employer Group Reporting http://t.co/F6KFLTyGto
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• #Benchmarking can help #health organizations determine what #cost levels are appropriate for each department. http://t.co/c0OnjxUe84
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Milliman Research

2012 Milliman Medical Index

S&P Healthcare Economic Indices

Medicare Advantage Hierarchical Condition Categories: Updated Study Results (PDF)

Commercial Risk Adjustment and Transfer Payments: Are You Ready? (PDF)

PPACA: Timeline of Key Deadlines Between Now and 2016 (PDF)

National Burden of Preventable Adverse Drug Events Associated With Inpatient Injectable Medications: Healthcare and Medical Professional Liability Costs (PDF)

Premium Deficiency Reserve Requirements for Accident and Health Insurance (PDF)

Determining Discounts (PDF)

Ten Critical Considerations for Health Insurance Plans Evaluating Participation in Public Exchange Markets (PDF)

Essential Health Benefits: Review of the State Employee Benchmark Plans and Illustration of Possible Variation in Essential Health Benefits by State (PDF)

Perspectives on Medical Malpractice Self-Insurance Financial Reporting (PDF)

The Milliman Healthcare Reform Strategic Impact Study: Helping Employers Make Sense of Healthcare Reform (PDF)

Becalmed & Bewildered: When Will the Medical Professional Liability Market Break Out of the Doldrums, Begin to Harden? (PDF)

Sustainable Provider Payment Arrangements: What Are the Key Elements Conceptually? (PDF)

Communicating Healthcare Reform: Helping Navigate the Waters

By the Numbers: The MPL Insurance Market: The Clock Is Ticking on Reserve Releases (PDF)

Milliman RBRVS for Hospitals (PDF)

PPACA Guidance: "Full-Time" Employee Definition, 90-Day Waiting Period (PDF)

Halftime Update: Mid-Year 2012 Results for Medical Professional Liability Specialty Writers (PDF)

Essential Tactics for CO-OP Prosperity (PDF)

The MPL Industry Unpaid-Claim Reserve: The Whole May Be Greater Than the Sum of the Parts (PDF)

Best Practices for Launching and Operating an All-Payor Claims Database (PDF)

Measuring the Cost of Undiagnosed Depression (PDF)

CO-OPs and Community Health Centers: Kindred Spirits (PDF)

Medicaid Risk-Based Managed Care: Analysis of Financial Results for 2011 (PDF)

An Improved Accrual: Reducing Medical Malpractice Year-End Adjustments

Milliman GlobalRVUs (PDF)

Bending the Medicaid Healthcare Cost Curve Through Financially Sustainable Medical-Behavioral Integration

Measuring the Cost of Undiagnosed Depression (PDF)

Depression Treatment: The Impact of Treatment Persistence on Total Healthcare Costs (PDF)

Get Better ROI From Your BI (PDF)

Lessons From Brazil: Regulatory Changes in the Health Insurance Market (PDF)

Health Insurance Exchanges and Early Retiree Health Coverage (PDF)

Medical Professional Liability: The Other Insurance Market Affected by Health Reform

Insights Into Defense Cost Data (PDF)

Parity for Oral and Intravenous/Injected Cancer Drugs (PDF)

2011 Milliman Medical Index

The Medicare Shared Savings Program and the Pioneer Accountable Care Organizations (PDF)

Managed Long-Term Care Plans in New York State: Critical Factors for Financial Viability (PDF)

Chronic Illness Accelerated Benefit Riders (PDF)

A Look at 2011 Year-End Financial Results for Medical Professional Liability Specialty Writers (PDF)

Understanding Biosimilars and Projecting the Cost Savings to Employers (PDF)

2011 U.S. Organ and Tissue Transplant Cost Estimates and Discussion (PDF)

Taking Stock of Wellness (PDF)

Wellness Lessons Learned From the Private Sector

Is Your Wellness Program Cost Effective? (PDF)

CO-OPs: Learning From History (PDF)

Risk Adjustment and the Power of Four (PDF)

Healthcare Reform: What About Dental? (PDF)

Measuring the Strength of the Individual Mandate (PDF)

Healthcare Reform in 2012: Blind Curves Ahead

Benefit Designs for High Cost Medical Conditions (PDF)

Using Medicare RBRVS for Reimbursing Out-of-Network Claims in Commercial Insurance (PDF)

Pioneer ACOs: Quantifying Risks and Identifying Opportunities (PDF)

Engaging Providers in ICD-10 (PDF)

ACO Gain/Loss Sharing (PDF)

Using ICD-10 for Immediate Quality of Care and Coding Improvements (PDF)

Evaluating Bundled Payment Contracting (PDF)

Managing Nondiscrimination Testing for Health & Welfare Plans in a Changing Environment (PDF)

2010 Commercial Health Insurance Market: New Financial and Enrollment Data Available From the Supplemental Exhibit (PDF)

Transparent Cost Network: A Practical Consumer-Driven Healthcare Solution

Halftime Update: Mid-Year 2011 Results for Medical Professional Liability Specialty Writers (PDF)

EGWP/wrap: Why now? (PDF)

The Young Are the Restless: Demographic Changes Under Health Reform

Risk Adjustment: Important Considerations for Global Payments to Providers

Risk Adjustment and Its Applications in Global Payments to Providers (PDF)

Social Security and Modified Adjusted Gross Income: Estimated Impact to Medicaid Enrollment Under the PPACA (PDF)

Health Insurance CO-OPs: Challenges and Opportunities (PDF)

Healthcare Reform's Minimum Medical Loss Ratios (PDF)

2010 Milliman Medical Index (PDF)

The Nurse's Role in Accountable Care (PDF)

Four Quarters Make a Buck: 2010 Year-End Results for Medical Professional Liability Specialty Writers (PDF)

ACOs Beyond Medicare (PDF)

A First Look at ACOs' Risky Business: Quality Is Not Enough (PDF)

Healthcare Reform and the Basic Health Program Option (PDF)

Benchmarking Preventive Care Utilization (PDF)

Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews (PDF)

Payment Reform Will Impact Medicare Advantage (PDF)

Milliman Group Health Insurance Survey Illustrates Cost-Management Strategies Due to Healthcare Reform (PDF)

Healthcare Reform: Strategic Considerations for 2011

Healthcare Reform: Potential Opportunities for Captives (PDF)

Whose Patient Is It? Patient Attribution in ACOs (PDF)

How Using Care Management Guidelines Can Help Accountable Care Organizations Achieve Success (PDF)

A Special Report on Long-Term Care Insurance Protection (PDF)

Perspectives on the Community Living Assistance Services and Support (CLASS) Act

Commercial Cost Variation by Hospital Referral Region

Client Action Bulletin: 2011 Cost-of-Living Adjustments for Medicare (PDF)

How Hospitals Can Arm Themselves in the War on Waste (PDF)

2010 Milliman Group Health Insurance Survey

What Kind of Risk Adjustment Systems Are Necessary for Health Insurance Exchanges? (PDF)

Healthcare Reform and Employers: Next Steps (PDF)

Operation of a Health Exchange Within the PPACA (PDF)

Client Action Bulletin: Health Reform Guidance (PDF)

Health Insurers Need to Quickly Assess Operational Costs for Medical Services Under Healthcare Reform (PDF)

Implementing Parity: The Safe Harbor for Outpatient Benefits (PDF)

Nuts and Bolts of ACO Financial and Operational Success: Calculating and Managing to Actuarial Utilization Targets (PDF)

Should Your State Establish a Health Insurance Exchange? (PDF)

Controlling Healthcare Costs the Old, New Way (PDF)

Risk Adjustment: Health Calculus for the Reform Environment (PDF)

Why Hospital Cost Shifting Is No Longer a Viable Strategy (PDF)

Want to Manage Employer Healthcare Costs? It Starts With Managing Utilization

Cancer Patients Receiving Chemotherapy: Opportunities for Better Management (PDF)

National Healthcare Reform: Strategic Considerations for Large Employers (PDF)

Improved Management Can Help Reduce the Economic Burden of Type 2 Diabetes: A 20-year Actuarial Projection (PDF)

Implementing Parity: Investing in Behavioral Health (PDF)

Guidance Issued on Extending Health Plan Coverage to Employees' Adult Children (PDF)

Rating and Underwriting Under the New Healthcare Reform Law (PDF)

Healthcare Reform and Medicare Part D (PDF)

Healthcare Reform and Pharmacy Benefits (PDF)

The Need for Better Hypertension Control: Addressing Gaps in Care With the Medical Home Model (PDF)

How Hospitals Can Successfully Implement Evidence-based Guidelines (PDF)

Healthcare Cost: Manage the Causes, Not the Effect (PDF)

High Value for Hospital Care: High Value for All? (PDF)

Effective Contracting with Pharmacy Benefit Managers (PDF)

The Difficulty of Legislating Premium Rate Increases (PDF)

Building an Accountable Care Information System (PDF)

Combo LTC Annuities: Here They Come

ICD-10: Industry Perceptions and Readiness (PDF)

Consequences of Hepatitis C Virus (HCV): Costs of a Baby Boomer Epidemic of Liver Disease (PDF)

Medicare Part D: Taking Another Look at Employer Group Waiver Plans for Tax-exempt Plan Sponsors (PDF)

Adverse Selection and the CLASS Act (PDF)

Adverse Selection and the Individual Mandate (PDF)

No Room to Stand (PDF)

"Young Invincible" Provision Points to Lingering Questions About Cost and Sustainability (PDF)

Retooling Medical Professional Liability (PDF)

Experience Under the Healthy Indiana Plan: The Short-term Cost Challenges of Expanding Coverage to the Uninsured (PDF)

Regional Data Exchanges Unlock the Potential of Electronic Health Records (PDF)

The Convergence of Quality and Efficiency and the Role of Information Technology in Healthcare Reform (PDF)

Comprehending the Compromise: Key Considerations in Understanding the "Co-op" as an Alternative to the "Public Plan"

Healthcare Reform: Large Employer Impact (PDF)

Understanding Healthcare Plan Costs and Complexities

Three Keys to Getting Healthcare Reform Right

Transforming Healthcare: Identifying the Failures and Unlocking the Potential of Our Current System

Preparing for Parity: Investing in Mental Health (PDF)

Imagining 16% to 12%: A Vision for Cost Efficiency, Improving Healthcare Quality, and Covering the Uninsured (PDF)

Hidden Health Tax (PDF)

Hospital and Physician Cost Shift (PDF)

Consumer-Driven Impact Study (PDF)

The Impact of Healthcare Reform on Medicare Part D (PDF)

PBM Transparency Could Be Inevitable

Success of $4 Generic Programs Highlights Potential Consumerism (PDF)

The Impact of AWP Litigation on Your PBM Contract (PDF)

Ten Critical Factors for Health Plan Success in Implementing ICD-10 (PDF)

ICD-10 Savings: Who Will Be the Winners? (PDF)

Healthcare Data Pooling: Coming Soon to a Community Near You? (PDF)

Market-based Insurance Design: A New Approach to Bend the Healthcare Cost Curve (PDF)

2009 Milliman Medical Index (PDF)

Value-based Insurance Design (VBID): Questions Adopters Should Ask (PDF)

Eight Important Questions About SCHIP

The Rise and Risks of Medical Tourism

Considering Reimbursement for Cancer Preventive Agents (PDF)

Legislation and Government Programs

Patient Protection and Affordable Care Act

Health Care and Education Affordability Reconciliation Act of 2010 (PDF)

Senate Healthcare Reform Bill (PDF)

The Obama-Biden Health Plan (PDF)

The State Children's Health Insurance Program (SCHIP)

Healthcare Reform Resources

American Medical Association (AMA): How the Passage of Federal Health System Reform Legislation Impacts Your Practice

Kaiser Family Foundation: Health Reform Implementation Timeline

Kaiser Family Foundation: Summary of New Health Reform Law

More Kaiser Family Foundation healthcare resources

Statement from American Heart Association CEO Nancy Brown on House Passage of Senate Health Care Reform Legislation

Other Resources

Age Rating Under Comprehensive Health Care Reform: Implications for Coverage, Costs, and Household Financial Burdens (PDF)

Appraisal of Guidelines for Research & Evaluation (AGREE) Instrument (PDF)

Bureau of Labor Statistics Guide to the Health Care Industry

California Legislative Analyst's Office Report: A State Policy Approach: Promoting Health Information Technology in California

The Cost of Failure to Enact Health Reform: Implications for States (PDF)

The Dartmouth Atlas of Health Care

Health Economics, Policy and Law: Effect of the Implementation of an Enterprise-wide Electronic Health Record on Productivity in the Veterans Health Administration

Health Care Reform and American Federalism: The Next Inter-Governmental Partnership (PDF)

Institute of Medicine: Knowing What Works in Health Care: A Roadmap for the Nation

National Academy of Science Institute of Medicine: Evidence-Based Medicine and the Changing Nature of Healthcare

Congressional Budget Office Reports

H.R. 4872, Reconciliation Act of 2010 (Final Health Care Legislation)

Analysis of Senate Healthcare Reform Bill (PDF)

Analysis of House Healthcare Reform Bill (PDF)

Health Care

Key Issues in Analyzing Health Insurance Proposals

Behavioral Economics: Lessons from Retirement Research for Health Care and Beyond

Evidence on the Costs and Benefits of Health Information Technology

The Overuse, Underuse, and Misuse of Health Care

Increasing the Value of Federal Spending on Health Care

The Long-Term Budget Outlook and Options for Slowing the Growth of Health Care Costs

Opportunities to Increase Efficiency in Health Care

Increasing Transparency in the Pricing of Health Care Services and Pharmaceuticals

Health Costs and Health Information Technology