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Evaluate medical network reimbursement rates to reduce costs
Milliman Payer Network Check
Selecting the provider network option with the best overall prices generally yields the best financial results for your employee benefit health plan. Switching to a lower cost network could result in significant savings for years to come.
However, healthcare carriers in most markets closely guard access to provider discount information, at a disadvantage to the customer. You need better cost information to identify the optimal product and network for your organization or client.
Medical network selection represents the largest cost savings opportunity for groups without making changes to their benefit design. Milliman Payer Network Check leverages standardized UDS data, the gold standard for payer discount data, and performs quality assurance review. It then executes proprietary algorithms to generate normalized discount profiles and applies them to the plan sponsor’s data, identifying the financial impact between the different carrier reimbursements in a customized report specific to your actual utilization and demographics.
With Milliman Payer Network Check, you can easily determine the expected cost differential for medical expense between competing carriers and find the right plan for your employees or clients.
Gain access to tightly protected network discount information under Uniform Discount and Data Specifications (UDS).
Get relevant insights with group-specific characteristics, including employee geographical distribution and historical claims experience.
Benefit from an efficient platform that keeps the price of our service lower than those of other major consulting firms.
Compare costs and employee impact between traditional broad networks and new network solutions, including accountable care organizations (ACOs), high performing networks, and narrow networks.
Base your decisions on standardized data for the most accurate analysis of network costs between payers.
Leverage Milliman’s deep expertise and experience to provide your group with the highest quality network analysis available in the industry.
Choose analysis options, ranging from high-level network check to detailed RFP support, to align with a variety of employer needs at a competitive fee.
Make a data-driven decision on whether to switch carriers.
Perform the most accurate analysis by comparing carrier discounts based on your group’s actual historical claims experience rather than an average-book-of-business approach.
Work with Milliman, an independent trusted advisor with no stake in the outcome of our findings.
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Ask the tough questions. We’re ready for them.