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Deliver on the promises of the past and create smart solutions for the future.
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This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
A dynamic and growing market makes it more important than ever to offer competitive benefits and premiums to Medicare Advantage customers. Our comprehensive services include employer group pricing support, market and feasibility analysis, payment validation, and risk scoring.
Milliman has been helping plan providers creates successful Medicare Part D solutions since the program’s inception. Turn to us for retiree prescription drug plan review, creditable coverage testing, actuarial equivalence testing, and communications consulting.
Milliman healthcare consultants with clinical, IT, operational, compliance and marketing backgrounds, coupled with in-depth knowledge of Medicare programs, help you streamline operations, increase efficiency, and improve your services.
The CMS bid process is a gauntlet of complex regulations. Let Milliman help you find the right path forward for your Medicare plan, from Medicare Advantage to PACE. Our end-to-end support goes beyond initial submission to encompass desk review and audits.
Milliman is hosting a webinar series on Medicare topics that cover emerging trends in the 2021 Medicare Advantage market.
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.
Hospital margins, occupancy, and Medicaid reimbursement
The U.S. government has recently amplified its commitment to health equity as evidenced by the release of documents such as the “CMS Framework for Health Equity 2022-2032”....
We highlight changes in value added and key benefit trends in the Medicare Advantage market from 2023 to 2024, with a focus on general enrollment plans.
We review changes in value added and key benefit trends in the Medicare Advantage market from 2023 to 2024, with a focus on Dual Eligible Special Needs Plans.
What key Star Rating changes may CMS implement?
We delve into three recent CMS health-equity-focused initiatives, which have significant implications for Medicare Advantage organizations.
We present some trends in Medicare Advantage dental utilization, based on an…
This report summarizes financial information and analysis related to…
Commercial payment rates for medical services as percentage of Medicare fee-for-…
CMS Final Rule and Proposed Rule updates Version 2024.3
In the constantly evolving Medicare Advantage landscape, the 2024 Star Ratings…
As enrollment in Medicare Advantage plans with mandatory dental benefits…
With significant changes coming to the Medicare Star Ratings, Medicare Advantage…
Health plan sponsors need to understand the mechanics of the Medicare…
The role of rebates in drug coverage decisions and insurer finances
Recently released calendar year (CY) 2023 Medicare Advantage (MA) data show…
With the CMS, Medicare Advantage organizations, Medicaid organizations, and…
This analysis focuses on mandatory supplemental benefits offered by Dual…
Over the last decade, ACOs have emerged as a major force in the way healthcare…
How do responses differ by demographic characteristics?
This article reviews dental benefits provided within MA general enrollment plans…
Six important topics insurers should consider as they contemplate entering the…
We cover the basics of offering employer group waiver plans (EGWPs) and the…
Why Medicare Advantage plans should focus continuously on achieving high star…
COVID-19 creates a compelling environment for Medicare Advantage telehealth…
This article outlines the dental market landscape for Medicare Advantage plans…
This paper provides insight into benefit and premium changes made alongside…
This paper explores the impact of the Part D Senior Savings Model on patient out…
Newly available product design options will require actuaries to develop new…
This paper provides an in-depth technical evaluation of Direct Contracting,…
This report highlights key changes in member premiums and benefits for the 2020…
What are the potential effects of prospective and retrospective assignment on…
This paper explores the various components of Medicare Advantage revenue,…
What are the similarities and differences in the financial benchmark methodology…
Milliman’s integrated, customizable software solution for pricing claims based on Medicare allowable fees.
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Milliman’s Medicare Repricer software assigns Medicare-allowable fees to administrative claims data, allowing payers and providers to surface those fees in their enterprise data warehouse.
Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modeling.
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Focus on making sound business decisions with help on all aspects of CMS bidding from submission to desk review to audit.
Manage risks and ensure profitability with a full range of analytical and actuarial services tailored to the needs of CCRCs.
Find and prioritize opportunities to improve your Star Rating--because today's performance is driving tomorrow's revenue.
We bring our customary rigor and objectivity to evaluating employer-sponsored health, wellness, and disease management programs.
As the global leader in consulting to Medicare Advantage, Milliman can help plans increase leads and membership in a cost effective and compliant manner.
Implement effective alternative payment strategies in collaboration with Medicare, including shared savings arrangements.
Access comprehensive Medicare Advantage services including employer group pricing support, feasibility analysis, payment validation, and more.
Improve care quality and cost efficiency with the leading independent Medicare experts.
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Build quality MedSupp solutions and succeed in a growing, yet complex market.
Bring your offerings in line with regulations and improve care for mental health and addiction issues.
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.
A review of the Uniformity Flexibility benefits offered during the contract year…
Learn why Health Alliance Plan relies on the MedInsight Hospital Evaluation and…
We dig deep into rich Milliman MedInsight data to bring you insights you won&…
Do you know which members are likely to drive costs in the coming years? Learn…
Your decisions are only as good as your data. And your data is only as good as…
Ask the tough questions. We’re ready for them.