Healthcare risk modeling

Milliman Advanced Risk Adjusters

At the heart of population health analytics

Milliman Advanced Risk Adjusters

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The challenge

Understanding health risk requires in-depth insight into complex medical and social factors

When your challenges include financial and care decisions, Milliman Advanced Risk Adjusters® (MARA) helps you face those challenges with confidence through better understanding of the needs and risks of your population.

The solution

Get ahead of risk with MARA, an industry-leading solution for population health analytics

MARA population health models and tools offer person-centric, clinically meaningful risk profiles. Discover risk by health service categories to:

Analyze acute, chronic, complex, and social drivers of clinical risk
Segment members by expected cost increase or decrease
Identify risk of emergency department visit or hospital admission
Evaluate social and community-specific health risk factors

Deeper insight: Managing behavioral health for Medicaid populations

“We have risk scoring that we have access to, but it doesn’t give us the depth of that score that MARA gives us.”

Managing behavioral health requires a “whole person” perspective. Having a better understanding of how behavioral health conditions can contribute to clinical outcomes allows organizations to staff by priority, refer appropriately, and measure the value of clinical interventions.

Make financial decisions with confidence

For health plans, payers, and third-party administrators (TPAs)

Assess and compare risk among employers, providers, accountable care organizations (ACOs), and lines of business, while gaining insight to support budgeting, pricing, underwriting, risk adjustment, payment, and program measurement.

For providers and ACOs

Gain predictive insight for risk-sharing programs, value-based contracts, and performance measurement systems. Monitor concurrent risk over time to track changes in patient risk profiles, segment patients whose costs will increase and stay ahead during the performance period.

Rising Risk

MARA’s powerful Rising Risk models

MARA Rising Risk models differentiate, classify, and allow users to assemble cohorts of members by whether their cost will stay the same, decrease, or rise. MARA results offer greater precision for classifying populations, identifying risk drivers and enabling better decisions for care programs, staffing needs to achieve results, and measuring success.

BENEFITS

MARA Benefits

FEATURES

MARA features

PRODUCTS

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Resources

MARA resources

White paper

Can Milliman Advanced Risk Adjusters® (MARA) predict high-cost health plan members?

We assess the performance of Milliman Advance Risk Adjusters (MARA) versus other common methods for predicting high-cost members in U.S. commercial health plans.

Read the paper

BROCHURE

MARA Library of Models

Models for commercial, Medicaid and Medicare populations.

BROCHURE

MARA Rising Risk

With the addition of Rising Risk in MARA, customers are able to more accurately identify and differentiate low-cost individuals who are expected to incur significantly higher costs in the next year, and individuals that are expected to decrease in costs in the next year.

BROCHURE

Milliman Advanced Risk Adjusters