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Medicare Advantage organization comparison

Milliman MACVAT for investment firms

MACVAT provides investment firms deep insights into the value proposition of payers in the Medicare Advantage (MA) market, providing data-supported, macro-level visibility into payer’s MA plan-design offerings. MACVAT is used by Medicare Advantage and Prescription Drug Plans whose members represent more than 92% of the MA market — informing strategic approaches for MAOs of all sizes.

Use consistent, industry-leading comparisons based on detailed Medicare Advantage plan benefit package (PBP) data to assess benefit richness, premiums, and value added trends by plan, organization, or region.

Provide data-driven insights illustrating how MAOs adapt to evolving market trends, enabling more informed recommendations for capital investments.

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THE CHALLENGE

Difficult to assess payer benefit strategy

Synthesizing MAO strategic decisions for thousands of MA plans is difficult without a robust partner that deeply understands the MA market and data assets. Public data lacks clear value comparisons. During key investment decisions, investors may lack the time and tools to perform robust Medicare Advantage analytics across plans and markets. Without actuarial context, it’s challenging to understand how organizations may be shifting their approach to value positioning, and changes in benefit design could impact how your invested positions perform. Without market insight, it is difficult to assess payer strategy and provide buy or sell recommendations.

THE SOLUTION

Gain clear insight into MAO competitive positioning

MACVAT measures how organizations shift strategy with our unique and proprietary value added metric. Compare a Medicare Advantage plan’s benefit offerings and premiums using value added with organizational level views on both general enrollment and dual-eligible populations. Review plan and market trends to support strategic investment approaches by market and organization. Use our industry-leading tool to position your buy or sell recommendations with data-backed analysis.

Benefits

Compare payer positioning accurately

Apply our consistent value added metric to evaluate and compare MAO value offerings at a macro level across time and across organizations, supported by powerful Medicare Advantage actuarial knowledge and industry leading pricing analytics.

Inform investment positioning

Use MACVAT’s value added metric to inform buy or sell recommendations and to ensure you are asking the right questions during payer and investment call discussions.

Track value over time

Monitor design shifts and value changes year over year on a consistent apples-to-apples basis longitudinally.

Support market-level modeling

Integrate value added into your MA market models.

Target opportunities

Use payer design patterns to evaluate potential investment opportunities.

Improve market understanding

Ground discussions in the data about payer plan design and value added.

Features

Filter by organization and market type

Select organizations and market approach to build targeted comparisons.

Track changes over time

Analyze historical benefit design and market movement to inform macro-level strategy.

Build strategy on data

Work with longitudinal information to inform investment recommendation strategy.

Access web and Excel formats

Choose your preferred format for integration with internal systems.

Analyze all benefit offerings

MACVAT includes in- and out-of-network, Part D, SSBCI/UF, and mandatory and optional supplemental benefits for a complete comparative picture.

Benchmark multiple payers

Compare carriers based on consistent metrics.

Learn more

Explore MACVAT for additional sectors

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MACVAT for Payers (MAOs)

Understanding how each MA plan measures up to competitor offerings is essential to success. Assess the value of a MA plan with MACVAT: benchmark benefit designs, monitor trends, and inform product strategy with consistent actuarial insight.

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MACVAT for Provider Organizations

Milliman MACVAT is a MA plan comparison tool that helps providers understand payer value positioning, benefit design, and market trends to support strategy and contract planning.

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