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.
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.
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.
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.
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?
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.
Walking in Dan's Shoes
Gaining Medicaid insights from personal experience.
2023 Milliman Medical Index
We project the average cost of healthcare for an American family of four with an employer-sponsored PPO plan to rise to $31,065 in 2023, up 5.6% over last year.
Aspire health plan: How Monterey is reinventing healthcare
MedInsight: Trust your data.
Episode 35: The workplace has changed, how will the supplemental benefits market change with it?
Listen to the podcastMaking 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: 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
Featured Milliman health products
ACO Insight
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
IntelliScript
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Milliman Advanced Risk Adjusters
Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.
MyRxConsultant
Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.
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.