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MEDICARE ADVANTAGE PAYER COMPARISON

Milliman MACVAT for providers

MACVAT gives providers visibility into your payer partner’s Medicare Advantage (MA) plan design and value positioning. MACVAT is used by MAOs whose members represent more than 84% of the MA market — your payer partners may already be using MACVAT to inform strategy. Use consistent, industry-leading comparisons based on detailed MA plan benefit package data (PBP) to assess benefit richness, premium, and value added trends by plan, organization, or region. Support more thoughtful contracting discussions with payers, and better inform internal strategy.

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THE CHALLENGE

Difficult to assess payer plan strategy

Providers often lack the time and tools to perform robust Medicare Advantage analytics across plans and markets. Public data lacks clear value comparisons. Without context, it’s challenging to understand how benefits align with premium or member value, and how changes in benefit design could impact your contracted positions with your payer partners. Network planning and contract strategy suffer without market insight.

The solution

Gain clear insight into plan value and payer design strategy

MACVAT shows how plans stack up via our unique and proprietary value added metric. Compare Medicare Advantage performance metrics, plan benefit offerings, and premiums using value added. Review plan and market trends to support strategic approach and contract planning. Use our industry-leading data tool to position your organization for success with payers.

Benefits

Compare payer positioning accurately

Apply our consistent value added metric to evaluate, and compare plan and payer value offerings quickly, supported by a powerful Medicare Advantage competitive analysis tool, actuarial knowledge, and industry-leading pricing analytics.

Inform contract discussions

Use MACVAT’s value added metric to inform payer negotiations and ensure you are asking the right questions during internal and external strategy sessions.

Track value over time

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

Support strategic planning

Integrate plan comparisons into your growth or alignment models.

Target network strategy

Use payer design patterns to evaluate potential alignment opportunities. Use our value added metric focused on general enrollment membership or dual-eligible membership to best reflect the populations you support.

Improve payer negotiations

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

Features

Filter by plan and organization

Select specific plans and organizations 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 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 in your network 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 Investors and PE Firms

Milliman MACVAT is a MA comparison tool that assists stakeholders assessing the MA landscape with understanding payer value proposition through our proprietary and robust value added metric.

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We’re here to help

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