Skip to main content
Healthcare Data Analytics

Milliman Medicare Market Intelligence

An interactive web-based solution for competitive Medicare market insights

Milliman Medicare Market Intelligence banner
The Challenge

Poor insights lead to poor decisions

Medicare stakeholders frequently lack the competitive intelligence needed to make good decisions. Existing solutions often rely on stale data and employ sampling techniques that lead to biased decision making.

The Solution

Timely and granular insights with Milliman Medicare Market Intelligence

With a 100% claim-level sample of Medicare and Medicaid data, Milliman Medicare Market Intelligence empowers customers to optimize their plans and make informed decisions by drilling down to unprecedented levels of detail. This approach, using data enriched by decades of healthcare experience, enables stakeholders to gain actionable insights, benchmark against competitors, perform financial modeling, and negotiate pharmacy network contracts more effectively.

Milliman Medicare Market Intelligence benefits

Optimize plan performance

Benchmark against competitors, increase the accuracy of financial modeling, and follow the latest best practices with the help of Milliman data and expertise.

Strengthen your negotiating position

Make informed provider decisions, optimize formularies, and negotiate pharmacy network contracts more effectively, resulting in better outcomes for your organization.

Gain a competitive edge

Identify the most impactful providers, deploy your field force more effectively, and gain insights into your competitors’ strategies to succeed in today’s marketplace.

Tailor to your needs

Generate custom reports on-demand at user-selectable levels of aggregation. These reports provide fast, actionable insights based on the entire universe of claims, enabling you to make informed decisions.

Milliman Medicare Market Intelligence features

Interact with dashboards and custom reporting

Easily explore actual claims experience and generate custom reports on-demand that can be customized for all Medicare stakeholders. Search claims by metrics such as sponsor, patient, drug, condition, and provider.

Perform interactive rebate modeling and scenario generation

Quickly perform drug and plan-specific manufacturer rebating modeling for formulary negotiations with interactive tools, using the plan’s actual claims experience and historical Medicare-wide experience to inform key inputs.

Access data anywhere with high levels of security

Get secure access to data with a per-user subscription model housed in a cloud-hosted environment that is refreshed monthly.

Target key stakeholders

Access customized tools and reports that meet the needs of key stakeholders in the healthcare industry, including the pharmaceutical industry, pharmacy benefit managers, pharmacy chains, trade associations, healthcare providers, and health insurers.

Insight

Milliman Medicare Market Intelligence expertise

pharmacists with pill bottles
White paper

Early 2025 Medicare Part D claims show continued increase in non-low income specialty drug spend

Non-low income (NLI) specialty drug trend accelerates in early 2025.

Read the articleNavigation Arrow
woman looking at prescription bottles
Article

MedIntel Insights: Early look at Medicare Prescription Payment Plan enrollment

The Medicare Prescription Payment Plan (M3P) saw 179,000 beneficiaries participate in its first two months.

Read the articleNavigation Arrow

We’re here to help

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