Sustaining Alternative Payment Models to Care for Children with Complex Medical Conditions

Sustaining Alternative Payment Models to Care for Children with Complex Medical Conditions

The creation of new payment models—those that incentivize providers involved in the child’s care and address the coordination of both medical and social services—is a key component of the CARE Award.
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The creation of new payment models—those that incentivize the specific providers involved in the child’s care and address the coordination of medical and social services—is a key component of the CARE Award study.

Milliman provides technical actuarial support to each hospital to aid in designing a payment model. The actuary reports include expected reimbursement and expenses, trending for future savings targets, the sensitivity of financial result-to-cost estimates, and sensitivity toward random fluctuations in utilization and large claim amounts.

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