Benefit plan evaluation
CORAL
Deciphering the true value of health plans
For insurers, brokers, and consumers, comparing health plans is no small task. With different deductibles, copays, and cost-sharing details, it’s hard to pinpoint which plan truly offers the best value. The maze of insurance calculations often leaves users puzzled about their best options.
Clear comparisons made simple
CORAL makes navigating the intricacies of cost sharing and actuarial value straightforward. This powerful tool simplifies comparisons between benefit plans, taking the guesswork out of assessing relative cost. CORAL translates complex data into actionable insights, empowering insurers, brokers, and consumers to confidently make informed decisions and supporting more accurate underwriting.
Benefits
Access anywhere, anytime
Harness the power of web-based actuarial software for on-demand analyses.
Stay ahead with data-driven insights
Leverage Milliman’s Health Cost Guidelines for reliable results and access Milliman actuarial services for deeper analysis.
Streamline underwriting processes
Simplify and improve your underwriting tasks with precision-driven software for advanced commercial use cases.
Transform cost relativity analysis
Get faster, more accurate results using powerful relativity software.
Stay compliant and informed
Benefit from a tool that meets regulatory scrutiny while retaining its leading-edge capabilities.
Features
Comprehensive input scope
The tool offers a streamlined interface for inputting a broad array of cost-sharing services.
Advanced analytical capabilities
Assess both cost-sharing differences and induced demand impacts with precision.
Flexible calibration for specific client needs
CORAL adapts to specific client demands, accurately reflecting geography, demographics, and provider reimbursements.
FAQ
How does CORAL work?
Users input benefit plan parameters like deductibles, coinsurance, and copays. CORAL then processes these inputs using a model based on Milliman’s Health Cost Guidelines to produce relative cost outputs among plans (e.g., Plan B is expected to cost an insurer 3.2% less than Plan A, all else equal, given their differences in benefits).
What is cost sharing?
Cost sharing refers to the costs of healthcare services that are shared from the insurance provider to the insured. Typical forms of cost sharing include deductibles, coinsurance, and copayments.
What is actuarial value?
Actuarial value is a measure used in health insurance to describe the percentage of total average costs for covered benefits that a plan will cover. For instance, if a plan has an actuarial value of 70%, on average, the plan is expected to cover 70% of the total costs, with the remaining 30% to be paid by the insured.
Who should use CORAL?
Insurers, large employers with self-funded insurance plans, third-party administrators, insurance brokers, and employee benefits analysts will all find value in CORAL, as many audiences can benefit from a comprehensive evaluation of the relative richness of plan design offerings.