Accountable care organizations (ACOs) are facing growing financial exposure from fraud and questionable billing outside their networks, as Medicare pushes participants to take on greater accountability for total cost of care, according to a new analysis from Milliman.
Under MSSP and ACO REACH, ACOs are responsible for all...
Milliman analysts examine the 2026 MA advance notice, litigation updates, and the Trump administration's executive orders in this February white paper.
Medicare Advantage and Part D Star Ratings are evolving; the average 2025 rating dropped to 3.92 from 4.07 and courts have ordered recalculations for UnitedHealthcare and Centene...
Read more about the strategies and solutions Lumeris engages to successfully navigate the Medicare Advantage (MA) market in this white paper that explores three key pillars to ensure proactive management of populations to predict swings in local utilization to drive better financial performance while delivering high-quality care and...
