Mile High Healthcare Analytics provides practical population-oriented health data analytics to insurance plans, Exchange issuers, ACOs, and risk-bearing provider groups.
We are 100% focused on helping clients optimize their government-regulated programs; Medicare Advantage, Medicaid and health insurance exchanges. Our strategic consulting focus provides business process assessments, data quality and management support, and advanced analytics on risk adjustment operations, quality improvement and value-based payment designs to help clients best manage member care and ensure appropriate reimbursement.
Better Data. Better Outcomes.
We are a data-focused team, using large and complex datasets of patient-level data from claims, pharmacy, clinical laboratory results, member enrollment, CMS-supplied data files, plus supplemental data, to clean and then analyze client information.
Our healthcare analytics pay as much attention to the underlying completeness of the data as to the analytic models that are employed. With complete and accurate data we derive and validate predictive models in clinical, operational and financial areas for healthcare organizations bearing financial or insurance risk.
We Understand Government-Regulated Health Plans
Richard Lieberman was a pioneer in driving the creation adoption and implementation of risk adjusted payment plans and remains one of the foremost experts in the nation in the design and implementation of quality measurement systems, risk adjustment models and value-based payment systems for all lines of business.
He and the rest of the Mile High team bring an in-depth knowledge of the regulations that govern risk adjustment and quality improvement for Medicare, Medicaid and health insurance exchanges. They understand both provider and plan-side challenges, and they are keenly aware of the practical implications of all our recommendations on your operations.
Discover Our Free Webinars
Mile High Healthcare Analytics is the proud host of the MHHA Webinar Series. In these sessions, Richard Lieberman and occasional guest speakers from various parts of the industry discuss topics relevant in Medicare Advantage, Medicaid, and the Health Insurance Exchanges.