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Milliman Medicare insight

6 things life sciences companies need to know about risk adjustment
What should life sciences companies know about risk adjustment for the Medicare, Medicaid, and ACA markets?

Medicare drug price negotiation: New dynamics as the tide turns to Medicare Part B
Medicare drug price negotiation: With the first cycle where Part B drugs are eligible to be selected, the implications extend far beyond simple price reductions.

State of the 2026 Medicare Advantage industry
We highlight changes in value added and key benefit trends for general enrollment plans in the Medicare Advantage market from 2025 to 2026.
Applying Six Sigma principles to the Medicare Prescription Payment Plan
How can healthcare stakeholders use Six Sigma to transform the Medicare Prescription Payment Plan into a widely adopted and trusted benefit?

Medicare Advantage under pressure: How MA-PD plans are rethinking $0 premium PPO offerings in 2026
We review how MA-Part D carriers adjusted their $0-premium PPO offerings in response to margin compression.
The CMS Transforming Episode Accountability Model: Skilled nursing facilities and TEAM strategy
4 reasons why it’s an opportunity for skilled nursing facilities to partner with hospitals—and 3 steps for developing a TEAM strategy
6 issues Milliman is watching for Medicare Advantage plans in 2026
To help Medicare Advantage plans navigate significant challenges and opportunities in 2026, we offer insight on six developing issues.
Milliman MedIntel Part D trend insights Q3 2025
Drug costs are still rising, but trends begin to slow in Q3 2025
Medicare drug price negotiation: Navigating the next wave of maximum fair prices
Deeper discounts in the latest round of negotiated prices for Medicare Part D drugs may indicate how future negotiations will play out.
Actuarial and business considerations for Medicare Advantage Organizations considering adding a C-SNP
We offer some considerations for Medicare Advantage organizations on whether to offer a chronic condition special needs plan (C-SNP).
Milliman Medicare products
Milliman Commercial Reimbursement Benchmarks
Medicare Reference Pricer
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Health Cost Guidelines Suite
MedInsight
Medicare Repricer
Milliman ACO Builder
Medicare Suggest
Milliman Advanced Risk Adjusters
ACO Care Management Impact Model
Bundled Payment Reporting Interface
Milliman Medicare services
Milliman Medicare resources
Medicare Advantage Uniformity Flexibility benefit offerings
A review of the Uniformity Flexibility benefits offered during the contract year 2019 plan year.
Optimizing hospital partnerships
Learn why Health Alliance Plan relies on the MedInsight Hospital Evaluation and Comparison System (HECS) tool for hospital contracting.
Milliman Healthcare Analytics Blog
We dig deep into rich Milliman MedInsight data to bring you insights you won’t find anywhere else, plus updates on the state of regulatory affairs.
Identifying high-cost members
Do you know which members are likely to drive costs in the coming years? Learn how you can find out—before it’s too late to do anything about it.


