HEALTH SOLUTIONS
Employer-sponsored healthcare
Attract and retain, protect and sustain
Changing regulations and rising costs put pressure on employer-provided healthcare plans. Turn to Milliman for data-driven insights, technology innovation, and real-world experience to keep your health benefits working for your business and your employees.
Milliman employer-sponsored healthcare solutions
Private employer health plans
Whether you’re obtaining health coverage from a vendor, self-insuring, or working with a third-party administrator, Milliman can help you get the most health value for your investment—and the coverage your valued employees deserve.
Public employer health plans
Public employers face unique issues when it comes to healthcare benefits, including GASB 75 standards and a heavy regulatory burden. Milliman works with some of the largest public entities in the U.S. to solve these challenges.
Health wellness and disease management
Help your employees get and stay healthy with effective wellness and disease management programs. We can analyze the financial and health outcomes of programs to help ensure return on your investment.
The leading healthcare cost tool for 60 years and counting
With Milliman’s Health Trend Guidelines, get monthly updates on healthcare expenditures and utilization for individuals enrolled in commercial insurance plans across the U.S. Featuring 12-month trailing data, the Guidelines give you the data you need for negotiating, forecasting, setting premiums, and more.
Deep data analytics for employers
Milliman MedInsight® combines vital patient information into a single, comprehensive reporting system that can accurately generate performance metrics on demand for insurers, employers, and Medicaid agencies.
Bringing new insight to group quoting
Curv – Group Health combines the rich data of prescription histories with the power of predictive modeling to make quoting group insurance more accurate. Leveraging the value of medical information, Curv (formerly GRx) enables health insurers to quote new groups quickly and more accurately in order to win the right business at the right rates. By transforming group census data into a powerful risk score, Curv allows health plans to more accurately predict a group’s future claim costs.
Multiemployer Taft-Hartley plans
Regulatory upheaval and funding challenges are common issues in the multiemployer market, and Milliman has seen it all. We can help you bring stability and solvency to your workforce.
Milliman employer-sponsored healthcare insight
Milliman employer-sponsored healthcare products
Medicare Reference Pricer
Milliman’s integrated, customizable software solution for pricing claims based on Medicare allowable fees.
Milliman Payer Network Check
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
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.
Milliman Medical Underwriting Suite
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
CORAL
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Milliman Specialty Pharmacy Insights
Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.
Milliman DEPTH
Optimize your benefits cost management strategy.
Milliman Health Trend Guidelines
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Milliman Health ClaimsRef
Reduce errors and improve cost savings with standardized, consistent claims processing tools.
Milliman Price Transparency Solutions for Payers and Providers
Demystify payer and provider contract pricing data for better transparency across the industry.
Milliman DNA Gene and Cell Therapy Forecasting
Analyze the emerging market to support underwriting, pricing, and product development.
Milliman employer-sponsored healthcare services
Benchmarking
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Health, wellness, and disease management ROI
We bring our customary rigor and objectivity to evaluating employer-sponsored health, wellness, and disease management programs.
Product development and pricing: Healthcare
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Value-based reimbursement strategy
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.