Medicare’s complicated patchwork of constantly updated fee schedules and groupers makes it difficult to correctly apply current Medicare policies, leading to operational inefficiencies that cost time and resources.

You need a complete and accurate pricing solution that meets your Medicare pricing requirements. Milliman Medicare Pricers go beyond Medicare to support benchmarking to market reimbursement rates or to cost. It also supports proxy pricing to fill the gaps in Medicare fee schedules.

Our users span the healthcare industry and include:

• Payers including commercial, Medicare Advantage, and Managed Medicaid plans
• Provider organizations
• Reference-based pricing networks
• Reinsurers
• Native American tribes
• Third-party administrators (TPAs)
• Data brokers
• Government entities

Learn more below or contact us to discuss how Milliman Medicare Pricers can support your business.