Services
Healthcare




Actuarial services

Milliman's extensive actuarial services help insurers, health plans, and employer groups better handle the complexity of estimating financial risk in healthcare. We offer assistance with pricing and plan design, reserving and financial reporting, claim experience and financial analysis, regulatory filings, and retiree medical benefits.

Contract negotiations

We are experts at complex negotiations and provide clients with detailed analyses grounded in financial realities.

GASB 45

We can do the math on how GASB45 will affect you—then help you choose the best option moving forward.

ICD-10 readiness

Milliman helps organizations integrate ICD-10 compliance throughout their businesses by offering coordinated assistance in its implementation.

Medicare consulting services

Milliman's extensive actuarial, operational, and market experience gives us a unique strategic perspective on Medicare consulting. Our personalized support and innovative solutions help clients evaluate risk and management costs for specific Medicare populations.

Medical management

Our clinical and analytic expertise helps clients develop, refine, and evaluate programs.

Microinsurance

Milliman provides deep expertise and a broad array of insurance and financial perspectives to microinsurance efforts all over the world.

Product pricing/development

Insurers, health plans, and employer groups call on us to help develop and market new products.

Staffing & support

Milliman can deploy consultants from across the United States to work at client locations when needed.

Benchmarking

Our consultants connect your business goals and challenges to metrics—and make comparisons that count.

Evaluation & development of rating models

Milliman standardizes rating models, creates new models that are easier to replicate, and trains new underwriters.

Health Insurance Exchange services

Milliman's Healthcare Reform Financial Analysis Model, the most sophisticated tool for analyzing the implications of healthcare reform, combined with top-tier healthcare actuarial consulting, makes us uniquely positioned to help states successfully implement a health insurance exchange.

Litigation support

We pride ourselves on preparing testimony that is clear and easy for nonexperts to comprehend.

Mergers & acquisitions

We have unique experience in every facet of purchase and sale transactions in the health-insurance industry.

Mental Health Parity & Addiction Equity Act

Milliman's MHPAEA resource page provides a broad overview of the Act, compliance requirements, and resources for specific mental health and substance abuse disorders. We can help clients prepare for and complete MHPAEA compliance testing, develop MHPAEA benefit plans and management processes, and more.

Pharmacy benefits consulting

Milliman's pharmacy benefits consulting services can help clients navigate new healthcare reform regulations; select and administer Medicare Part D options; manage pharmacy benefits management vendor selection, contracting, and oversight; and develop an effective pharmacy benefits plan model.

Regulatory compliance

We are experts in the intricacies of laws and regulations governing healthcare in every state.

Technology & operations

Our consultants are experienced in key healthcare operations issues and the best use of technology.

Take the next step! Contact a Milliman consultant.