Health Solutions

Providers

Reducing costs, improving outcomes

Increasing costs and complexity—along with new reimbursement models and changing treatment protocols—are putting a strain on providers. With our rich data, innovative technology, and unmatched domain expertise, we can help you improve patient health and care experience while optimising efficiency.

OVERVIEW

Milliman provider solutions

Alternative payment models
Medicaid and Medicare consulting
Operational consulting
Stop loss insurance
Feasibility analyses

Alternative payment models

Outcome- and risk-based payment models are a reality in today’s healthcare market. We have been working with alternatives to fee-for-service reimbursement since their earliest inception and can help you make these approaches not just a reality, but a success.

Insight

Milliman providers insight

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MedInsight: Trust your data

We know that your decisions are only as good as your data. And your data is only as good as your platform. You can trust the MedInsight platform to get it right.

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How Monterey is reinventing healthcare

When confronted with rising costs and shrinking reimbursement, leaders at a hospital in California took a bold step to ensure that they could continue serving the needs of the community in a financially sustainable way.

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Healthcare costs and ACOs

Discover how accountable care organizations are using data to make healthcare innovation a reality.

White Paper

Medicare Shared Savings Program: The Series

Potential impacts of regulatory changes to the Medicare Shared Savings Program (MSSP)—including faster assumption of downside risk for ACOs.

Read the series

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The real cost of healthcare waste

See how we’re helping clients reduce costs and improve patient outcomes.

Milliman providers products

Healthcare analytics

MedInsight

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

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Healthcare cost modelling

Health Cost Guidelines Suite

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

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Healthcare risk adjustment

Milliman Advanced Risk Adjusters

Fuel population health analytics and manage risk adjustment with our award-winning suite of tools and data.

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Hospital performance analysis

Hospital Performance Index

Analyse performance against national and regional best practices for strategic deployment of care management resources.

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Claims data analytics

Bundled Payment Reporting Interface

Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.

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Healthcare cost modelling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

Analyse historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.

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Healthcare cost modelling

GlobalRVUs

Analyse healthcare relative value units (RVUs) across all healthcare services and provider types, using any data set.

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Healthcare benchmarking

HECS & RBRVS for Hospitals

Compare and benchmark hospital contracts on a patient-severity adjusted basis.

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Contact us

We’re here to help you break through complex challenges and achieve next-level success.