Navigate today’s most pressing health industry challenges with a leading global expert by your side.
ACO utilization & cost evaluation
Healthcare cost modeling
Insurance risk assessment
Medicare plan selection solution
Healthcare risk adjustment
Pharmaceutical claims analytics
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Property & casualty advisory services
Modern flood insurance program
Investment, advisory & trading services
Financial modeling & industrialization
Geographic rating insights
Premium comparison platform
Retirement & Benefits
Deliver on the promises of the past and create smart solutions for the future.
Pension administration & communication
Retirement benefits administration platform
Compensations & benefits
Benefit plan evaluation
Health & welfare benefits administration platform
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
Auto policy underwriting
Software performance enhancement
Mortgage platform for investments & reinsurance
Solvency II reporting & compliance
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Milliman is hosting a webinar series on Medicare topics that cover emerging trends in the Medicare Advantage market. See below for recordings and slides from past webinars.
April 13, 2022
June 6th is quickly approaching! In this session, Milliman consultants highlight some of the hot topics for Medicare Part C and D bid development for CY2023.
Watch the webinar
March 9, 2022
Join us in a discussion of several areas of trend impacting bids in 2023 including:
February 9, 2022
What is the new frontier for Part D? Will the Direct Subsidy go negative this year? Will the updated OOPC model negatively impact plan offerings? Will Build Back Better and other legislation negatively impact your bid and members? Or are these opportunities to take (Medicare) advantage of? We look at those topics along with Formulary strategy, the National Average Benchmark Amount, the Low Income Benchmark, and more.
January 19, 2022
Join our Milliman presenters for an overview of chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the Medicare system. This webinar focused on costs, payments, and policies impacting Medicare Advantage plans and bids.
December 8, 2021
Join our Milliman presenters as they look ahead to 2022 and highlight key changes occurring in the Medicare Advantage (MA) marketplace. We will discuss the competitive landscape and design of plans targeting various Medicare-eligible populations, including a focus on supplemental benefits and emerging trends in the Part C and D markets. Our three presenters bring a broad array of expertise in these topics and are excited to share their thoughts with you.
November 10, 2021
As Medicare Advantage and Prescription Drug Plans develop their strategy for 2023, representing your plan to attract new beneficiaries is a critical component of that strategy. The CMS Medicare Plan Finder tool is a key means by which Medicare eligible beneficiaries choose a plan and sales agents use to help beneficiaries compare benefit options. We walk through the Medicare Plan Finder, including a tour behind the scenes, and focus on discussing strategies so how you want your plan to look is how your plan actually looks!
October 6, 2021
The results of the Part D PBM RFP and contracting process is a major component of success for Medicare Advantage/Part D plans. Regulatory compliance and financial analysis are uniquely different when evaluating RFP submissions for Medicare plans in particular. Leveraging both operational PBM experts and Medicare actuaries can lead to a more detailed and strategic RFP. In this webinar, we dive into key elements for success in the Part D PBM process, including valuing the impact to net plan liability, understanding the pros and cons of network and formulary strategies, and understanding how to evaluate the ability for each PBM to offer the operational expertise needed to compliantly and effectively manage Part D benefits.
September 8, 2021
In recent years, providers are taking on increasing levels of risk and responsibility for their Medicare fee-for-service (FFS) patients. Accountable Care Organizations (ACOs) have become a popular option for provider groups and health plans transitioning towards more risk-based contracts. In this session, we provide background on the history of the CMS-sponsored risk sharing programs, examine the current and future landscape, analyze drivers of performance in these programs, and discuss how MA plans are well-positioned to generate additional revenue through these models.
August 11, 2021
As the Medicare population grows and providers develop an appetite for risk, health plans and providers need to work together to develop reasonable terms, good working relationships, and opportunities for both parties to win. In this session, we address key considerations for Medicare Advantage value based contracting, including challenges and risks to providers and health plans. We also discuss alternatives to Medicare Advantage that providers are increasingly embracing, such as Medicare Shared Savings Programs, Bundled Payments for Care Improvement, Direct Contracting, and other CMS programs. Finally, we address how providers can create aligned strategies to care for their Medicare Advantage and traditional Medicare populations and how health plans can support (and benefit from!) these efforts.
June 23, 2021
There are a variety of ways Medicare Advantage Organizations can grow and develop their business. Whether it’s expanding to new regions, introducing new products, or enrolling and managing new populations, there are many important actuarial and operational considerations and strategies to consider. This session identifies key stakeholders and the decisions involved in evaluating these opportunities, and discusses the importance of understanding how stakeholder decisions are interconnected / dependent on each other for success.
April 14, 2021
Ready to submit bids? Probably not yet, but we are here to help! In this session, Milliman experts will highlight hot topics for Medicare Advantage Prescription Drug (MAPD) bid development in advance of the 2022 bid deadline.
March 10, 2021
Ever wondered how CMS sets the Medicare Advantage (MA) benchmarks and how payments flow from CMS to health plans and from health plans to providers? In this session Milliman experts will follow the funds flow from the county benchmark to plan revenue, and to MA plans’ provider network.
February 10, 2021
Since revenue paid by the Centers for Medicare and Medicaid Services (CMS) to Medicare Advantage (MA) plans is heavily dependent on risk scores, MA plans need to ensure their risk scores reflect the actual health status of their population. This session will provide background regarding what is included in each member’s risk score, how risk scores are calculated, and how risk scores are developed as part of the bid submission.
January 13, 2021
Milliman’s Jason Karcher, David Koenig, and Tracy Margiott discuss the latest changes to the Medicare regulatory landscape.
December 16, 2020
What are the changes occurring in the 2021 Medicare Advantage marketplace? Listen to Milliman’s Robert Eaton, Julia Friedman, and Nicholas Johnson as they discuss nationwide trends specific to general enrollment and dual-eligible special needs plans.
Ask the tough questions. We’re ready for them.