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Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
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.
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.
The Inflation Reduction Act aims to lower prescription costs of some drugs, so Medicare Advantage and Part D stakeholders need to consider each provision.
We summarize the 2021 numbers for organizations reporting Medicare Advantage experience under the Title XVIII line on the NAIC annual statement.
It is essential that Direct Contracting Entities adjust their performance projections according to the Retrospective Trend Adjustment going into 2023.
Gaining Medicaid insights from personal experience.
In 2022, the cost of healthcare for a hypothetical American family of four covered by an average employer-sponsored preferred provider organization (PPO) plan is $30,260, according to the Milliman Medical Index (MMI).
Part two in our series exploring data, AI, and other topics shaping the future of insurance technology.
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.
After years of experimentation with new ways of paying for healthcare, what have we learned?
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.
Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.
Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.
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.
Adapt to the increased reporting frequency and detail required by new regulations with expert guidance.
Keep health insurance exchanges healthy with our technical acuity and comprehensive knowledge of the healthcare industry.
Implement effective alternative payment strategies at the state level, including shared savings arrangements.
Ask the tough questions. We’re ready for them.