HEALTH

Health makes up 18% of our GDP. And 100% of our lives.

Employing industry-leading data analytics and solutions, we work with clients across the healthcare spectrum to control costs, expand coverage, and untangle regulatory complexity to improve the health and well-being of people everywhere.

Overview

To transform healthcare, first you have to understand it.

From reducing waste and operating costs to expanding into new markets and services, we help payers, providers, governments, and employers manage the impact of healthcare reform, streamline operations, build new analytical capabilities, and advance the quality of patient care.

Video

People everywhere: How 2020 has us living our mission like never before

From theory to the front lines: one healthcare consultant’s harrowing COVID-19 story.

COVID-19

Navigating a global pandemic

How will the coronavirus transform healthcare, retirement, and insurance?

Webinar

RX for success: Navigating key PBM challenges

Tuesday, November 10, 2020. 10 - 11 a.m. ET

Prescription drug benefits are among the most costly and volatile components of an employer-sponsored healthcare plan. In this webinar, you’ll gain insight and advice for managing a cost-effective pharmacy benefit management program.

Our pharmacists, consultants and actuaries will share solutions to your most pressing challenges. Topics include the financial impact of new and emerging specialty medicine, recent regulatory changes, and contract negotiation and best practices.

Watch the video
Watch the video
Read the blog
Read the index
Watch the video
Watch the video
CRITICAL POINT PODCAST

Episode 8: Puerto Rico after the hurricane

Listen to the podcast
HEALTH SOLUTIONS

Making Medicare work for all concerned

In the ever-changing world of Medicare, it pays to have an experienced strategic partner to help you navigate new payment models, regulations, and market shifts. We have the data, methodologies, and in-market experience to help you succeed.

ALTERNATE PAYMENT MODELS

Alternate payment models: Aligning incentives

After years of experimentation with new ways of paying for healthcare, what have we learned?

Milliman acquires Torch Insight, expanding industry’s leading portfolio of SaaS health market intelligence solutions

Read the most recent healthcare thought leadership.

PRODUCTS

Featured Milliman health products

ACA utilization and cost evaluation
ACA utilization and cost evaluation
ACO utilization & cost evaluation

ACO Insight

Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.

Healthcare cost modeling
Healthcare cost modeling
Healthcare cost modeling

Health Cost Guidelines Suite

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.

Insurance risk assessment
Insurance risk assessment
Insurance risk assessment

IntelliScript

IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.

Healthcare analytics
Healthcare analytics
Healthcare analytics

MedInsight

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

Healthcare risk adjustment
Healthcare risk adjustment
Healthcare risk adjustment

Milliman Advanced Risk Adjusters

Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.

Preventive digital health

HealthIO

Using the power of IoT, longitudinal health data, micro-social networks, and AI to create personalized insights that enable early detection and prediction of adverse health events and chronic conditions

SERVICES

Milliman health services

Actuarial consulting: Healthcare

Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.

Advanced analytics for accountable care organizations

Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modeling.

Benchmarking

Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.

Bid development, desk review & audit support

Focus on making sound business decisions with help on all aspects of CMS bidding from submission to desk review to audit.

CCRC consulting services

Manage risks and ensure profitability with a full range of analytical and actuarial services tailored to the needs of CCRCs.

CMS Star Rating Improvement

Find and prioritize opportunities to improve your Star Rating--because today's performance is driving tomorrow's revenue.

GASB75 compliance

Adapt to the increased reporting frequency and detail required by new regulations with expert guidance.

Health insurance exchange services

Keep health insurance exchanges healthy with our technical acuity and comprehensive knowledge of the healthcare industry.

Medicaid ACOs

Implement effective alternative payment strategies at the state level, including shared savings arrangements.

We’re here to help

Ask the tough questions. We’re ready for them.