Insights from Milliman Transparent features
Simplified access and normalized data
For the first time ever, coveted payer and provider contract pricing data is made easily accessible and understandable. Publicly available machine-readable pricing content is transformed into a unified, normalized data foundation, powered by our strategic alliance with Turquoise Health.
Analytics and expertise
Millman has decades of experience analyzing healthcare data sets and providing intelligence to clients to support contract negotiations, benchmarking, pricing, and other critical business decisions. Milliman’s contract experts are partnering with organizations across the healthcare landscape to translate the transparency data into meaningful business insights.
Transparent data quality
Milliman healthcare industry experts, data scientists, and actuaries work together to flag data quality, trustworthiness, and sufficiency so users can make informed choices about how to use the information.
Holistic view
In order to compare the disparate payer and provider contract information, Milliman created utilization profiles by line of business and provider type. We combine the utilization profiles with our actuarial standardized price (GlobalRVUs) so that users can compare contracts with different contract structures and service codes using a nationwide Medicare benchmark tailored to the commercial market.
Comparability
Actuarially sound percent of Medicare relativities for each contract and service type can also be viewed across markets and geographies, unlocking valuable competitive insights for payers and providers.
Powerful tools
Get data on demand using a web interface or consume it using an API.
Insights from Milliman Transparent benefits
Access competitive intelligence
Gain a deeper understanding of existing contractual rates and agreement terms across all payers and providers.
Improve contract negotiations
Harness data to empower payers and providers with insights on contracted rates, network status, and discounts with actuarially sound analysis.
Perform comparative benchmark analyses
Understand contract strengths and weaknesses, pricing anomalies, contract structure, and network breadth across payers and providers. Identify opportunities to align price position with brand and strategy.
Assess new markets
Assess current and new markets by geography / region, product mix, and networks.
Inform patient decisions
Support greater price transparency in healthcare and enable more engagement and choice for healthcare consumers.