Navigate today’s most pressing health industry challenges with a leading global expert by your side.
ACO utilization & cost evaluation
Healthcare cost modeling
Insurance risk assessment
Medicare plan selection solution
Healthcare risk adjustment
Pharmaceutical claims analytics
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Property & casualty advisory services
Modern flood insurance program
Investment, advisory & trading services
Financial modeling & industrialization
Geographic rating insights
Premium comparison platform
Retirement & Benefits
Deliver on the promises of the past and create smart solutions for the future.
Pension administration & communication
Retirement benefits administration platform
Compensations & benefits
Benefit plan evaluation
Health & welfare benefits administration platform
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
Auto policy underwriting
Software performance enhancement
Mortgage platform for investments & reinsurance
Solvency II reporting & compliance
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.
Medicaid consulting services
The breadth and depth of knowledge available through the Milliman Medicaid Consulting Group lets us create customized solutions for our clients in an effective, efficient, and timely manner. Our actuaries and consultants offer client-focused solutions to Medicaid rate-setting and other key financial analysis while also providing regulatory guidance and ensuring compliance with all our projects.
With more credentialed healthcare actuaries than any other firm in the United States, we have unparalleled expertise in actuarial consulting, covering a wide scope of Medicaid-related needs.
Services offered include the following.
The Milliman Medicaid Finance team’s expertise in design, implementation, and evaluation of healthcare delivery, payment, and rate-setting systems for all types of provider services simpliﬁes the landscape for state agencies. Our ﬁnance consulting services complement Milliman’s actuarial and policy practices, oﬀering clients a single source solution that addresses the complexities of the Medicaid program.
With a diverse team of consultants with real-world experience at state Medicaid agencies, MCOs, and healthcare providers, our policy team applies a practical operations approach to policy initiatives with a focus on feasibility and ease of adoption. Partnering closely with Milliman’s actuarial, finance, and clinical experts, we seamlessly deliver tailored solutions for Medicaid state agencies. Our policy consulting services include the following:
Medicaid has an important role to play in ensuring coverage of and access to the COVID-19 vaccine.
The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.
Centers for Medicaid and Medicare Services has published a rule updating this interpretation, creating new compliance requirements for states in order to continue receiving the enhanced FMAP.
Since March 2020, the levels of medical service utilization have affected payers, providers, and healthcare markets differently and dampened medical expenditures has been a consistent theme.
Ask the tough questions. We’re ready for them.