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HEALTH SOLUTIONS

Medicaid

Innovative solutions for Medicaid

OVERVIEW

Milliman Medicaid solutions

Medicaid services for states

Medicaid services for states

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Insight

Milliman Medicaid insight

White paper

The road to care: An analysis of non-emergency medical transportation delivery systems

Non-emergency medical transportation (NEMT) is a required benefit provided to Medicaid beneficiaries to enable access to medical services and treatment that may be routine or non-emergent in nature.

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White paper

Questions Surrounding Anti-diabetic GLP-1s in Medicaid

A quantitative analysis of GLP-1 utilization and cost, with a particular emphasis on anti-diabetic indicated GLP-1s in a sample of Medicaid managed care programs.

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White paper

Reentry for justice-involved individuals: A road map for state Medicaid agencies pursuing an 1115 demonstration

Recent changes to federal Medicaid policy have afforded states new flexibilities to improve access to and continuity of healthcare services for individuals as they reenter the community post-incarceration.

White paper

Final Rule CMS-2439-F: Medicaid medical loss ratio standards

Essential insights for state Medicaid agencies.

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Preheading

How will Medicaid Pay for Cell and Gene Therapies

Amid the development of new cell and gene therapies, we present some strategies that states have used to control costs and risk among their MCOs.

Research report

Medicaid managed care financial results for 2023

This research report offers reference and benchmarking information for certain key metrics used in the routine analysis of Medicaid financial performance of managed care organizations (MCOs).

White paper

CY 2025 Medicare Advantage Rate Announcement and final rule: What do Medicaid leaders need to know?

In April, the Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Advantage (MA) and Part D final rule and MA rate notice.

White paper

Key considerations in developing Medicaid VBP strategies

This white paper is part of a Milliman series focused on considerations for state Medicaid agencies interested in increasing the adoption of VBP in their states.

Report

Texas Medicaid managed care financial results for Q3 SFY 2023

The Texas Health and Human Services Commission publishes statutory financial statistical reports (FSRs) for managed care organizations contracting with the state to provide benefits under Medicaid and the Children’s Health Insurance Program (CHIP).

White paper

Average Manufacturer Price cap removal: Implications for state Medicaid programs

As a new federal law, effective in 2024, removes a cap on manufacturers' drug rebate amounts, we explore the implications for state Medicaid programs.

RELATED PRODUCTS

Milliman Medicaid products

Healthcare risk adjustment
Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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Healthcare analytics
Healthcare analytics

MedInsight

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Healthcare cost modeling
Healthcare cost modeling

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

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