Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Discover intelligent digital solutions to help improve outcomes, manage costs, and solve the toughest healthcare challenges.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
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Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
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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.
Known for our technical acuity and comprehensive knowledge of the healthcare industry, Milliman offers independent analysis to help states cost-effectively manage their populations without compromising quality of care.
As the largest healthcare actuarial consulting firm, Milliman has assisted a wide variety of clients in making difficult, data-driven decisions. This combination of top-tier consulting and a robust analytic tool are unmatched by any other consulting firm.
As a world leader in risk adjustment, Milliman has consulted with governments across the US and Europe and in other developed healthcare economies. With risk adjustment becoming a more profound aspect of the American healthcare system under the ACA, requiring states to get a handle sooner rather than later on their uninsured and underinsured populations, this expertise can be critically important to helping anticipate the issues that states must address and resolve in implementing exchanges.
Milliman offers sophisticated risk adjustment software to state insurance exchanges free of charge. Milliman Advanced Risk Adjusters (MARA) provides a highly predictive, completely free set of risk adjustment models that can help states identify where risk is most likely to emerge, allow them to benchmark improvements, and identify people who may benefit from assistance in effectively managing their health.
To help states understand the enrollment and premium shifts that may occur due to implementation of exchanges and other changes to the health insurance marketplace, we have developed a sophisticated scenario simulation tool: the Milliman Healthcare Reform Financing Model.
This model can answer reform questions with a high degree of detail using a number of different variables, including population by income, current health status, insurance (if any), and approximate costs and cost variation between markets.
Milliman technology consultants have a wide range of information technology and operations expertise, focused in three primary areas:
This expertise enables Milliman to evaluate a state's existing technology infrastructure and related business processes, and to identify the specific changes required for implementing an exchange or multiple exchanges.
Milliman consultants are operations experts who can help states understand the administrative implications of various policy decisions, design management plans for executing exchange requirements, and develop staffing models and budgets. In addition, we can help states determine business requirements to be supported by information systems and vendors.
Implementation and operation of an ACA compliant exchange requires personnel, systems, and processes.
Milliman consultants can help states to:
Determining infrastructure needs is a precursor to development of an administrative budget for the exchange.
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