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Health Solutions

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Reducing costs, improving outcomes

OVERVIEW

Milliman provider solutions

Alternative payment models

Alternative payment models

Value-based care consulting and technology

Empowering success for ACOs and provider partners

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Insight

Milliman providers insight

White paper

MFPs beyond Part D: What Maximum Fair Prices mean for Part B stakeholders

With the expansion of the Medicare Drug Price Negotiation Program to include Part B drugs for 2028, stakeholders need to understand the expected impacts.

Brief

No Surprises Act – Early results and emerging trends

We analyze publicly available data from the Centers for Medicare and Medicaid Services to evaluate emerging trends in the independent dispute resolution process.

Interactive report

How can geographic data inform healthcare strategy?

We take a closer look at the variation in healthcare patterns across regions—and what’s driving the differences—to help better prepare stakeholders.

Article

LEAD benchmarking methodology: Implications for ACOs relative to the Medicare Shared Savings Program

The LEAD benchmarking methodology represents a meaningful shift from the Medicare Shared Savings Program, reducing benchmark levels by around $3.2 billion, or 2.3%.

White paper

Hospital global budget models: 6 essential implementation conditions for providers

As healthcare providers move from fee-for-service to value-based care, we outline six essential implementation conditions for hospital global budget models.

Article

6 issues Milliman is watching for health systems and provider organizations in 2026

Learn about the key issues healthcare providers and health systems should be watching in 2026

Article

Key questions healthcare provider organizations should ask when evaluating LEAD

We identify several critical questions ACOs will need to ask about LEAD, a new healthcare model announced by the Centers for Medicare and Medicaid Services.

White paper

Commercial reimbursement benchmarking 2025

Commercial payment rates for medical services as a percentage of Medicare fee-for-service rates

Article

Six considerations for developing an oncology payment model

We offer life sciences companies six things to consider when developing an oncology payment model, from defining the population to ensuring high-quality care.

Article

Provider network optimization – Finding value in the details

With a comprehensive picture of provider quality, cost, accessibility, and affiliations, payers and providers themselves can make informed decisions.

Read the most recent healthcare thought leadership.

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RELATED PRODUCTS

Milliman providers products

Healthcare analytics

MedInsight

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Healthcare cost modelling

Health Cost Guidelines Suite

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Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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Hospital performance analysis

Hospital Performance Index

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Claims data analytics

Bundled Payment Reporting Interface

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Healthcare cost modelling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

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Healthcare cost modelling

GlobalRVUs

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Healthcare benchmarking

HECS & RBRVS for Hospitals

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