Skip to main content

Life Sciences

Data assets

Milliman Consolidated Health Cost Guidelines™ Sources Database (CHSD)

  • Milliman assembled multiyear, multiple-line-of-business, longitudinal claims and enrollment data structure.
  • Several national and regional health plans contribute their annual enrollment and claims detail with over 75 million commercially insured lives and almost 90 million total insured lives.
  • This includes commercial, individual, Medicaid, Medicare Advantage, and Medicare Supplement members’ claims and enrollment across all states.

Milliman Medicare Prescription Drug Consolidated Database (PDCD)

  • This data set contains actual prescription drug event (PDE) data for over 6 million Medicare-eligible members.
  • Members are identified as low-income (LI) versus non-LI based on the corresponding flags in their Monthly Membership Report (MMR) records from the Centers for Medicare and Medicaid Services (CMS).
  • Data can be used to identify which benefit phase the member was in for each claim.

Milliman’s Emerging Experience Data Set

  • Commercial, Managed Medicaid, and Medicare Advantage claims and enrollment data for research and client engagements.
  • Several health plans contribute monthly enrollment and claims detail with over 50 million lives represented.
  • 4-month lag between the experience period and the release of the data.

100% Medicare Research Identifiable Data Set

  • 100% Research Identifiable File has linked Parts A & B and D for all Medicare beneficiaries; Research protocol is broad. 2010 into 2024.
  • Providers, formularies and health plans are identified.
  • 100% Innovator Research data has linked Parts A, B, and D; research protocol is for benchmarking and socioeconomic research.
  • Demo detail includes 9-digit zip and race/ethnicity

100% Medicare Advantage Encounter Data Set

  • Similar to claims data.
  • Available for all Medicare Advantage plans.
  • Individual member experience is available and linked to their Part D information.
  • Note that cost information is not available.

Medicare 5% Sample

  • The CMS 5% Sample contains all Medicare FFS paid claims generated by a statistically balanced sample of Medicare FFS beneficiaries.
  • Information includes diagnosis codes, procedure codes, and diagnosis-related groups, site of service information, beneficiary age, eligibility status and an indicator for HMO enrollment.

Marketscan®

  • Formerly Truven, Formerly IBM Watson
  • Private sector health benefits claims and enrollment data from approximately 100 payers with over 35 million commercially insured lives.
  • The data set consists of patient-specific clinical utilization, expenditures, and enrollment across inpatient, outpatient, pharmacy, and carve-out services from a selection of large employers, health plans, and government and public organizations.
  • The databases link paid claims and encounter data to detailed patient demographic information across sites and types of providers over time.

Milliman State Discharge Data

  • Standardized state in-patient discharge database.
  • Includes information on patient cost share, billed and allowed amounts, length of stay
  • Does not include insurance or membership information
  • Data available for more than 10 years

We’re here to help

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

We’re here to help

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

popup image