Health Cost Guidelines Suite


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Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard used by health care organizations worldwide. 

Incorporating more than 50 years of research and consulting practice, the Health Cost Guidelines are compiled from published, unpublished, private, and public data sources. Today, more than 100 risk-bearing entities rely on our proprietary methodologies and comprehensive data to:

  • Model healthcare utilization.
  • Estimate claim costs.
  • Adjust national average healthcare costs for specific geographic areas, benefits, reimbursement structures, and plan characteristics.

The Health Cost Guidelines are updated annually to address the latest trends and regulatory compliance issues. Milliman uses multiple sources of data to produce the most comprehensive Health Cost Guidelines available.

The information you need to evaluate pricing

The Health Cost Guidelines Suite includes the following products:

The Health Cost Guidelines Suite is comprehensive and flexible enough to accommodate your specific situation. Whether the focus is on a single benefit area or on redesigning an entire benefit plan, the Health Cost Guidelines will keep you up-to-date on the issues that affect your bottom line.

The products we sell are the tools we use

As the premier health management consulting firm, the Health Cost Guidelines are used daily by our own in-house actuarial consultants for insight into the key drivers of healthcare costs and utilization.

Contact your Milliman consultant or the Health Cost Guidelines Manager at HCGManager@Milliman.com if you are interested in licensing any of these products.