Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Deliver on the promises of the past and create smart solutions for the future.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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.
Comprehensive insight into the Medicare Advantage market in a flexible, easy-to-use format.
Understanding how each MA plan measures up to competitor offerings is essential to success. These insights are useful beyond the actuarial department, serving the needs of executives, product managers, finance, brokers, and investors. However, gathering this information for current and past years is time-consuming—and the data alone does not provide an objective basis for comparison.
Milliman MACVAT provides succinct, user-friendly comparisons based on our unique value added metric. Objective, easy-to-understand results help you build a sound product strategy. See enrollment paired with value added, premium, star rating, and benefits to understand market movement quickly and easily. Empower your team to focus on analysis and action rather than gathering data. MACVAT is used by insurers whose members represent more than 80% of the Medicare Advantage market.
Users can filter results, see new comparisons instantly, and view results both numerically and graphically. Value added is expressed on a per member, per month basis for easy understanding and discussion.
Our proprietary and unique measurement of value added reflects the unique cost structures of each county offering MA in the United States, including the District of Columbia and Puerto Rico. The tool also includes premiums, star ratings, benefit information, and enrollment by county and in total for current and past years.
Easily view nearly every MA-PD benefit and better understand the value contribution of each plan’s MA-PD benefit design for the last five years.
Bring data to life using the business intelligence functionality of the web-based Milliman MACVAT Dashboard. Powerful visualizations driven by Microsoft’s PowerBI interface will enhance understanding of the market and plan offerings.
MACVAT automates the gathering of plan details so your team can spend their time providing additional value to your organization.
The standardized value added metric helps users more easily compare plans within service areas and across multiple years.
Get accurate, actionable information quickly to drive key decisions.
Use Milliman MACVAT as an Excel spreadsheet or through the web-based Milliman MACVAT Dashboard.
The value added metric includes all major benefit categories to better compare plan offerings and is the most comprehensive evaluation of benefit value in the MA market.
The Milliman MACVAT displays nearly all of the benefits offered within the MA landscape for in and out-of-network benefit designs, including Part D, SSBCI, and optional supplemental benefits.
In this example, Plan 2 charges the same premium as Plan 1, but its benefits are richer, leading to a higher overall value added. Plan 3 has the richest benefits, but also charges a higher premium, leading to an overall lower value added than both Plan 1 and Plan 2.
Review market trends over the last five years, drilling down to the desired level of review.
In this example, Plan 4 may not have the highest value added, but it does attract the most membership in this market.
The Milliman MACVAT supports numerous analyses performed by Milliman experts.
COVID-19 creates a compelling environment for Medicare Advantage telehealth offerings
This article focuses on mandatory supplemental benefits offered by general enrollment Medicare Advantage plans from 2017 to 2021.
This analysis focuses on mandatory supplemental benefits offered by Dual Eligible Special Needs Plans (D-SNPs) from 2017 to 2021.
This report highlights key changes in member premiums and benefits for the 2020 Medicare Advantage (MA) market, as well as the contributing factors for, and the magnitude of, the increase in value added within the MA market…
This paper provides insight into benefit and premium changes made alongside revenue changing due to a star rating change and measures the change in value added through benefits and premium changes provided to beneficiaries.
What happens to membership in Medicare Advantage-Prescription Drug plans with a zero-dollar premium when a premium is added?
One innovation that is driving enrollment growth for some Medicare Advantage organizations is the $0 member premium PPO.
Organizations entering the Medicare Advantage market should be aware of the current star rating climate as well as short- and long-term star rating and revenue considerations.
This paper analyzes historical enrollment experience for parent organizations new to the Medicare Advantage market from 2007 to 2018.
The Milliman YBT tool is driven by Excel’s built-in pivot table functionality, which provides a high-level summary average of the value added components and various benefit cost sharing amounts for the last five years. Year-over-year changes are calculated off the displayed results.
The Milliman MA-ARMS tool provides the same summary of benefits as the original MACVAT, but the value added portion is calculated based upon a single set of cost and use metrics.
The Milliman High/Low tool suite creates two different value added metrics where the high cost is meant to reflect the value add of members who use more care and low cost is meant to reflect value for low or non-utilizers. Similar to the MA-ARMS tool, it provides the same summary of benefits as the original MACVAT, but the value added portion is calculated based on high utilizers and low/no utilizers, respectively.
Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.
Focus on making sound business decisions with help on all aspects of CMS bidding from submission to desk review to audit.
Access comprehensive Medicare Advantage services including employer group pricing support, feasibility analysis, payment validation, and more.
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Ask the tough questions. We’re ready for them.