The Milliman medical management services team combines the healthcare expertise of veteran physicians, nurses, and pharmacists with the financial know-how of our actuarial staff to balance the clinical, financial, and operational imperatives of healthcare providers and insurers. We offer a broad assortment of tools and consulting services necessary to design and implement healthcare best practices.

Our customized strategies maximize our client's strengths

Milliman consultants work side by side with our clients to understand the intricacies of their practices and collect the data necessary for fully informed decision making and optimized operations. We evaluate care against clinical benchmarks and compare costs to returns on investment. We listen closely as our clients describe their obstacles and strengths before developing tailored cost, care, and disease management strategies.

We guide clients from strategy to implementation

Our clients carry out the strategies we help them develop. Milliman's consultants assist clients through the entire process, implementing necessary best practices through staffing, training, pay-for-performance programs, and provider profiling. If necessary, we review vendor costs and options and can assist organizations in identifying and negotiating with new vendors. Our implementation is always carefully tracked and benchmarked so our clients can prove the return on their investments.

Cost management from A (authorizations) to V (vendors)

Milliman recently consulted with a large health plan that was trying to find opportunities to contain costs while maintaining its high standards for care. We discussed the organization's strengths and priorities with top management and guided them through a strategy development process, which included presenting revised strategies to the board. Milliman aided executives in determining objectives for several processes, which included creating targets for the number of preauthorizations processed per day and reducing the turnaround time on cases. We then provided training to the staff to help it meet these new objectives. Furthermore, we reviewed the insurer’s relationships with vendors and found an opportunity for significant savings in establishing new relationships with radiology and specialty pharmacy vendors. As a result, the organization was able to run more effectively, providing a high level of care while reducing its costs.