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HEALTH

No issue is more complex. Or more personal.

Employing industry-leading data analytics and solutions, we work with clients across the healthcare spectrum to control costs, expand coverage, and untangle regulatory complexity to improve the health and well-being of people everywhere.

Overview

To transform healthcare, first you have to understand it.

From reducing waste and operating costs to expanding into new markets and services, we help payers, providers, governments, and employers manage the impact of healthcare reform, streamline operations, build new analytical capabilities, and advance the quality of patient care.

landmark legislation

Healthcare changes in the Inflation Reduction Act

From negotiated drug prices to Medicare Part D redesign, our research and analysis break down the law’s implications for plan sponsors, health plans, and pharmaceutical manufacturers.

WHITE PAPER

2023 Combined Benefits in Medicare Advantage - Tracking benefit strategy and options

Using Milliman MACVAT®, we analyzed 2023 Medicare Advantage plans to determine the breadth of combo offerings available to beneficiaries.

Read the most recent healthcare thought leadership.

Infographic

Payer strategies for weight-loss medications

Demand is up for drugs like Wegovy and Ozempic. How can plans balance the potential health benefits with adherence challenges and waste?

ARTICLE

The Retrospective Trend Adjustment in Direct Contracting and ACO REACH: A brief explanation

It is essential that Direct Contracting Entities adjust their performance projections according to the Retrospective Trend Adjustment going into 2023.

Watch the video
Read the index
Watch the video
Watch the video
CRITICAL POINT PODCAST

Episode 8: Puerto Rico after the hurricane

Listen to the podcast
HEALTH SOLUTIONS

Making Medicare work for all concerned

In the ever-changing world of Medicare, it pays to have an experienced strategic partner to help you navigate new payment models, regulations, and market shifts. We have the data, methodologies, and in-market experience to help you succeed.

ALTERNATE PAYMENT MODELS

Alternate payment models: Aligning incentives

After years of experimentation with new ways of paying for healthcare, what have we learned?

Milliman acquires Torch Insight, expanding industry’s leading portfolio of SaaS health market intelligence solutions

PRODUCTS

Featured Milliman health products

ACA utilization and cost evaluation
ACA utilization and cost evaluation
ACO utilization & cost evaluation

ACO Insight

Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.

Healthcare cost modeling
Healthcare cost modeling
Healthcare cost modeling

Health Cost Guidelines Suite

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.

Insurance risk assessment
Insurance risk assessment
Beurteilung von Versicherungsrisiken

IntelliScript

Intelliscript verbindet branchenführende Daten und Analysemethoden, um Versicherungsunternehmen das Wissen, die Tools und die Einblicke an die Hand zu geben, die sie brauchen, um Risiken souverän zu beurteilen.

Healthcare analytics
Healthcare analytics
Analytik im Gesundheitswesen

MedInsight

Nutzen Sie die branchenführende Plattform für Data Warehousing und Analytik im Gesundheitswesen.

Healthcare risk adjustment
Healthcare risk adjustment
Healthcare risk adjustment

Milliman Advanced Risk Adjusters

Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.

Pharmaceutical claims analysis
Pharmaceutical claims analysis
Pharmaceutical claims analytics

MyRxConsultant

Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.

SERVICES

Milliman health services

Actuarial consulting: Healthcare

Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.

Advanced analytics for accountable care organizations

Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modeling.

Benchmarking

Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.

Bid development, desk review & audit support

Focus on making sound business decisions with help on all aspects of CMS bidding from submission to desk review to audit.

CCRC consulting services

Manage risks and ensure profitability with a full range of analytical and actuarial services tailored to the needs of CCRCs.

CMS Star Rating Improvement

Find and prioritize opportunities to improve your Star Rating--because today's performance is driving tomorrow's revenue.

GASB75 compliance

Adapt to the increased reporting frequency and detail required by new regulations with expert guidance.

Health insurance exchange services

Keep health insurance exchanges healthy with our technical acuity and comprehensive knowledge of the healthcare industry.

Medicaid ACOs

Implement effective alternative payment strategies at the state level, including shared savings arrangements.

We’re here to help

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

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