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ACO utilization & cost evaluation
Healthcare cost modeling
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Healthcare risk adjustment
Pharmaceutical claims analytics
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
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Deliver on the promises of the past and create smart solutions for the future.
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Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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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.
The years since passage have brought constant change—challenges and successes alike. Where do we stand today? And what will tomorrow bring?
Since the passage of the ACA, states have taken very different approaches to managing reform—with varying degrees of success. An already-complex landscape has been made even more so due to constant regulatory battles.
Many exchanges have stabilized and found success, while others continue to face considerable challenges. Milliman brings you insights from our experiences on the front lines of reform.
See how Milliman is working to improve healthcare—objectively.
The ACA is facing yet another existential crisis in its latest trip to the Supreme Court, and by now we all know the headlines. But what does a potential ruling mean, and why should you care?
Your decisions are only as good as your data. And your data is only as good as your platform. That’s why over 300 leading healthcare organizations trust MedInsight to get the data right.
What should employers consider as they evaluate ICHRAs?
This white paper evaluates the implications of the risk adjustment data…
This article discusses why the coverage of preexisting conditions is a key issue…
Medicaid reform has the potential to affect more people than any other source of…
This article reviews ACA rates, enrollment, and morbidity to determine the…
In recent weeks, single-payer healthcare proposals have begun to emerge in…
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Estimate reserves accurately with our powerful, yet simple tool for estimating "incurred but not paid" claim liabilities.
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
Improve the pricing and underwriting of medical excess products with a complete toolkit based on Milliman Health Cost Guidelines.
Analyze healthcare relative value units (RVUs) across all healthcare services and provider types, using any data set.
Benchmark utilization and costs by sorting claims data into Health Cost Guidelines™ (HCG) categories.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Provide employees with a web-based tool that estimate out-of-pocket and premium costs for medical, dental, and vision plans.
Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).
Compare and benchmark hospital contracts on a patient-severity adjusted basis.
Analyze performance against national and regional best practices for strategic deployment of care management resources.
Evaluate the expected relative cost of an individual applying for coverage with detailed ratings on more than 1,400 conditions.
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Demystify payer and provider contract pricing data for better transparency across the industry.
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
Enhance the efficiency and consistency of underwriters with a full-featured electronic underwriting application.
Achieve more consistent returns with impartial, data-driven advice tailored to your needs.
Lower loss and loss adjustment expense costs, get litigation support, and improve claims operations.
Uncover valuable information hidden in your data, allowing you to take action on key business insight.
Maintain an edge in an increasingly competitive marketplace with a wide range of investment portfolio reviews.
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Deliver sophisticated and progressive insurance products at reasonable cost with the help of our data, analytics, and consulting expertise.
Improve risk selection, pricing, and profitability with comprehensive underwriting services and data.
Ask the tough questions. We’re ready for them.