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Out of control—or delivering value?

Pharma innovation isn’t free—but few believe the sick should bear the costs. Balancing costs and benefits requires data, collaboration, and the courage to try new things.

Efficacy within reach

Is affordability a pipe dream?

As drugs become more sophisticated and targeted, they often become dramatically more expensive. Even common drugs can see massive price increases when patents change hands or new uses are found.

As our healthcare systems and patients bear the cost of pharmaceuticals, how do we create a system that is fair to all—especially those whose lives could be saved by greater availability of medications?

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.

Read the article
Read the article

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?


Related Milliman products

Healthcare analytics
Procurement management

Milliman Payer Network Check

Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.

Pharmaceutical claims analysis
Pharmaceutical claims analytics


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

ACA compliance and affordability
ACA compliance & affordability

Healthcare Reform Dashboard

Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).

Healthcare analytics
Analytik im Gesundheitswesen


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

ACA utilization and cost evaluation
Medicare plan selection solution

Medicare Suggest

Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.

Premium comparison platform
Cost-saving analysis

Milliman Specialty Pharmacy Insights

Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.


Related Milliman services

Product development and pricing: Healthcare

Medicare Part D

Pharmacy benefits consulting

We’re here to help

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

We’re here to help

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

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