AFFORDABLE CARE ACT
Reform reimagined
The years since passage have brought constant change—challenges and successes alike. Where do we stand today? And what will tomorrow bring?
Making it count
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.
Rising above the fray
See how Milliman is working to improve healthcare—objectively.
Understanding healthcare costs in the US: The employer-sponsored insurance system
Understanding healthcare costs in the US: Medicare Advantage
Milliman Affordable Care Act insight
Related Milliman products
ACO Care Management Impact Model
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
ACO Insight
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Claim Reserve Estimation Workbook (CREW)
Estimate reserves accurately with our powerful, yet simple tool for estimating "incurred but not paid" claim liabilities.
CORAL
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
Excess Product Suite
Improve the pricing and underwriting of medical excess products with a complete toolkit based on Milliman Health Cost Guidelines.
GlobalRVUs
Analyze healthcare relative value units (RVUs) across all healthcare services and provider types, using any data set.
Health Cost Guidelines – Grouper
Benchmark utilization and costs by sorting claims data into Health Cost Guidelines™ (HCG) categories.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Health Plan Assist
Provide employees with a web-based tool that estimate out-of-pocket and premium costs for medical, dental, and vision plans.
Healthcare Reform Dashboard
Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).
HECS & RBRVS for Hospitals
Compare and benchmark hospital contracts on a patient-severity adjusted basis.
Hospital Performance Index
Analyze performance against national and regional best practices for strategic deployment of care management resources.
Individual Medical Underwriting Guidelines (IMUGs)
Evaluate the expected relative cost of an individual applying for coverage with detailed ratings on more than 1,400 conditions.
IntelliScript
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Milliman Health Trend Guidelines
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Milliman Medical Underwriting Suite
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
WEBMugs
Enhance the efficiency and consistency of underwriters with a full-featured electronic underwriting application.
Related Milliman services
Asset allocation
Achieve more consistent returns with impartial, data-driven advice tailored to your needs.
Claims consulting
Lower loss and loss adjustment expense costs, get litigation support, and improve claims operations.
Predictive analytics solutions
Uncover valuable information hidden in your data, allowing you to take action on key business insight.
ILS Pricing Reviews
Maintain an edge in an increasingly competitive marketplace with a wide range of investment portfolio reviews.
Product development and pricing: Healthcare
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Product development and pricing: Insurance
Deliver sophisticated and progressive insurance products at reasonable cost with the help of our data, analytics, and consulting expertise.
Underwriting and operations
Improve risk selection, pricing, and profitability with comprehensive underwriting services and data.