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Objectivity matters. Today, more than ever.

Independent for over 70 years, Milliman delivers market-leading services and solutions to clients worldwide. With no agenda, other than getting it right.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

News

  • 14 September 2018 — Wall Street Journal
    Florence flood threat heightened by underinsured homeowners
  • 13 August 2018 — Captive.com
    Milliman named actuarial firm winner by this year’s U.S. Captive Review Awards
See All News

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Long-term care consulting

We offer unmatched depth and breadth of knowledge in long-term care.

CHOMP

Expanding access to quality healthcare for a California community.

Global retirement

Helping clients understand and navigate retirement risk

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Recent stories

  • An end to manufacturer rebates as we know them today?
  • Pathways to Success MSSP final rule: Winners and losers
  • Public Pension Funding Index, 4th Quarter 2018
  • Student loans and regulation: A bumpy ride for borrowers
Critical Point podcast

A Milliman podcast covering topics in health, benefits, and more

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Healthcare costs

Population health management program development: The path to the Triple Aim
Population health management program development

  • Strategies employers can consider to understand and combat opioid abuse and misuse

    By Barbara Culley, Christine Castle | 22 January 2019

    How can employers prepare for and address opioid abuse and misuse?

  • Multiemployer Review: Know the specifics of your heath and welfare stop-loss policy

    By Sean Silva, David Stoddard | 21 January 2019

    As fiduciaries to health and welfare trusts, trustees must understand the details regarding their stop-loss carrier contracts in order to ensure the trust is receiving the most competitive price while also receiving sufficient protection against large claims in order to maintain sufficient trust assets.

  • Computed tomography colonography less costly than colonoscopy for colorectal cancer screening of commercially insured patients

    By Judy Yee, Tia Goss Sawhney, Bruce S. Pyenson, Michele M. Berrios | 21 December 2018

    For colorectal cancer screening, does computed tomography have a cost advantage relative to optical colonoscopy for the commercially insured U.S. population?

  • NADAC-plus: An emerging paradigm in pharmacy pricing?

    By Kevin P. Pierce, Andrea Sheldon | 14 November 2018

    This paper introduces national average drug acquisition costs (NADAC) and describes the opportunities and limitations of using NADAC as a basis for pharmacy pricing.

  • Preference-sensitive surgical procedures for preference-sensitive conditions

    By Kathryn V. Fitch, Carol Bazell, Sumudu Dehipawala | 24 September 2018

    This paper focuses on 15 preference-sensitive surgical procedures that may be performed to treat certain preference-sensitive conditions that have surgical treatment options.

  • The changing landscape of out-of-network reimbursement

    By David C. Lewis | 19 September 2018

    To avoid unfavorable outcomes, it is important to evaluate the methodology used for setting out-of-network reimbursement levels and to identify savings opportunities.

  • Alternative payment model financial settlements: Preparing for and learning from the process

    By Christine Ferro, Maggie Alston, L. Daniel Muldoon, Pamela M. Pelizzari | 17 September 2018

    This paper focuses on alternative payment model reimbursement methodologies through the lens of the Centers for Medicare and Medicaid Services Oncology Care Model as an illustrative case study.

  • Leveraging drug rebates for medical stop loss product innovation

    By Kevin P. Pierce, Thomas D. Murawski | 11 September 2018

    This paper explores potential innovations and key strategies for medical stop loss insurers.

  • Fiscal year 2019 HRRP impact to hospitals

    By James Lucas | 11 September 2018

    This paper describes the changes that are coming with the Hospital Readmission Reduction Program and explores what the likely effects will be.

  • International best practice benchmarks

    By Joanne Buckle, Tanya Hayward | 05 September 2018

    Milliman’s International Best Practice Benchmarks help quantify potentially avoidable admissions and beddays within a healthcare system to identify potential value opportunities.

See More Articles

  • 05 September 2018

    Pharma APMs: Can the industry learn to play well with others?

    The dynamics of alternative payment models suggest a potential win for insurers, pharmaceutical manufacturers, and patients through an emphasis on reducing cost and improving outcomes.

  • 31 August 2018

    The short-term/limited-duration insurance rule and the potential impact on health insurance markets

    This brief analyzes the provisions of the final short-term/limited-duration insurance rule, the accompanying commentary, and the potential implications to individual insurance markets.

  • 26 July 2018

    Health and Group Benefits News and Developments, July 2018

    Health and group benefits news and developments in the United States.

  • 13 July 2018

    The Swiss Army Knife of medical tests

    Jim Mulshine joins Milliman’s Bruce Pyenson for a Q&A to discuss lung cancer and provide a medical and actuarial take around an alternative form of disease management.

  • 05 July 2018

    Value proposition of teledentistry: Cost savings, improved services, and more

    This article explores the value proposition that teledentistry could provide to dental plans, dental providers, disease management programs, and populations lacking adequate oral healthcare.

  • 20 June 2018

    Don’t TrOOP off the cliff: True out-of-pocket amount poses challenges starting in 2020

    With significant changes to Medicare Part D from the Bipartisan Budget Act of 2018 and the Centers for Medicare and Medicaid Services Final Rule, one provision from the Patient Protection and Affordable Care Act that has gone largely unnoticed is the forthcoming TrOOP Cliff in 2020, for which plan sponsors should prepare.

  • 13 June 2018

    Critical Point podcast, Episode 1: Healthcare waste

    Three members of our MedInsight team discuss minimizing healthcare waste and reducing unnecessary costs across the American healthcare system.

  • 21 May 2018

    A primer on prescription drug rebates: Insights into why rebates are a target for reducing prices

    This article explains the finances associated with pharmaceutical manufacturer rebates and their impact on health insurer coverage decisions.

Healthcare

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  • Healthcare reform reading list: From the ACA archives
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See all topics
  1. Healthcare
  2. Affordable Care Act research
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  4. Healthcare reform 2.0
  5. Healthcare reform reading list: From the ACA archives
  6. Long-term care insurance
  7. Medicaid
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  10. Medicare ACOs and Alternative Payment Models
  11. Provider
  12. Employee Benefits and Investment
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  19. Insurtech
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  28. Enterprise risk management
  • Featured videos

    • Story behind MMI - ThumbnailThe story behind the Milliman Medical Index(1:36)
    • ACO Part2 - ThumbnailHealthcare costs and accountable care organizations(3:58)
    • ACO Exchange - ThumbnailHealth exchanges: Key issues for states(6:14)
    See all video
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About Milliman


Our Company

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For more than seven decades, Milliman has combined technical expertise with business acumen to create elegant solutions for our clients. 

Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.


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