As payment reform continues to progress and medical inflation continues to escalate, many payers and providers are improving their analytics around the hospital contracting process. Milliman MedInsight would like to make you aware of a Milliman tool that can help healthcare organizations better evaluate and manage commercial contracts. Case mix and severity adjustment of each hospital’s results is critical to answering the age old assertion that “our patients are sicker.” Having a set of reports that allows you to aggregate inpatient and outpatient data to evaluate trends, relative contractual yields, operating costs, percent of Medicare, and LOS performance is critical to getting the best contracts.

Will Fox, a principal in Milliman’s Seattle office recently presented a webinar entitled “Managing hospital contract negotiations using case mix adjusted benchmarks.” During this webinar, Mr. Fox discussed the Hospital Evaluation and Comparison System (HECS™), which combines the power of the Milliman RBRVS™ for Hospitals and a wide variety of benchmarks that can inform and improve your contracting results.

If you missed the webinar, you can access a recording of the Managing Hospital Contract Negotiations Using Case Mix Adjusted Benchmarks session. To listen to the webinar, please click on the “Register” button, enter the requested information, and click “Complete Registration”. The webinar will then automatically stream to your computer. 

You can also read this informative white paper, Milliman RBRVS for Hospitals.