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.
Financial modeling & industrialization
Retirement & Benefits
Deliver on the promises of the past and create smart solutions for the future.
Compensations & benefits
Benefit plan evaluation
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.
Milliman has a wide range of experience working with federal, state, and local governments on healthcare, retirement, and more. Milliman has successfully developed and maintained federal contract status under the General Services Administration (GSA) and Financial and Business Solutions (FABS). Milliman’s GSA contract is listed on the GSA Advantage!® purchasing site. We have also maintained direct contracts with the Department of Veterans Affairs (VA), Pension Benefit Guaranty Corporation (PBGC), Federal Emergency Management Agency, Federal Insurance and Mitigation Administration, Department of Homeland Security, and numerous state and local governments including Medicaid agencies, public employers, state insurance departments, and state-based insurance exchanges under the Patient Protection and Affordable Care Act.
GSA Advantage listing
SIN/NAICS codes: 541611
We offer unbiased information to health plan decision makers—including local, state, and federal government agencies—to transform their programs and services in response to improving the health of populations they serve, the quality of the care received, and the cost of that care. Our unmatched resources draw from sophisticated modeling, unique visual tools, and broad experience consulting to federal and state agencies to provide insight into driving factors in healthcare costs. We perform actuarial and financial modeling for complex health systems on both the state and federal levels.
We routinely analyze the fiscal impact of proposed legislation, and frequently testify before legislative committees and councils regarding the actuarial implications of proposed changes to benefit plans. We also help agencies successfully interpret, implement, and comply with laws and regulations by providing the requisite advice and counsel. Our services also include budget forecasting, risk management, product development, payment methodology development, and evaluation of health policy.
We are leaders in retirement, helping shape significant changes in the industry. We have experience in contracting with federal and state governments, enabling us to assist agencies with critical and complex issues, including retirement funding, healthcare financing, risk management, and regulatory compliance. We provide pension plan consulting and created the annual Public Pension Funding Index along with quarterly and monthly public pension studies. We also work closely with our clients on policy analysis and compliance. We track and analyze legislation and regulation affecting retirement and also routinely provide agencies—like the PBGC – with analyses of the fiscal impact of proposed retirement-related legislation. Specifically, we provide highly qualified and specialized professional services and personnel resources to support the PBGC’s Office of Benefits Administration (OBA) in calculation of benefits for participants in the PBGC trusteed pension plans. The support is primarily provided to the OBA’s Actuarial Services and Technology Department and its two divisions: the Actuarial Services Division and the Technology and Risk Management Division. We provide the required services in accordance with Title IV of ERISA and applicable PBGC regulations, standards, settlements, policies, and procedures.
We specialize in building and licensing off-the-shelf cost-effective solutions to measure and manage the unique risks associated with guaranteeing or direct origination of credit such as mortgage, small business, and student loans, providing credit enhancement and risk share analytics, and producing credit subsidy estimates and policy analysis for government entities. Milliman also provides risk management support through model development and/or IV&V (independent verification and validation) for quantitative models utilized for budget estimation and policy analysis. We provide industry-leading standards for documentation and transparency of work product while maintaining secure data center and Graham-Leach-Bliley Act compliance. Our professionals help governmental agencies deliver successful results in budget estimates, risk analysis, and policy impact studies.
Modeling has become increasingly climate-aware, and we work with governments to address a variety of climate resilience questions. We perform actuarial redesign of rates, including modernization and improved granularity of rating elements for a government insurance program. We perform regulatory research to understand how to implement innovative solutions that comply with state insurance regulation, and we create and support the associated filings with state regulators. We also advise governmental officials and stakeholders on strategies to mitigate catastrophic risk, educate consumers to enable better decision-making, and promote insurance availability and affordability. Milliman has a deep understanding of catastrophic perils such as wildfire, hurricane, flood, earthquake, and severe/winter storms. Our climate resilience team can help define scenarios, specify and model hazards, and develop options for resilience that offer clear insight into costs, benefits, and uncertainty. Milliman is a trusted adviser, managing the nexus of hazard, climate, resilience, and insurance.
In 2009, Milliman created a nationwide workers' compensation database consisting of $61.8 billion of incurred losses across all 50 states. We continue to update this database on an ongoing basis.
How much will single-payer healthcare in the United States cost and how will it be paid?
This report looks at the different outcomes for the 50 states from the Affordable Care Act in terms of reduction of the uninsured rate, cost, and availability of health insurance coverage.
It’s important to consider the impact of potential legacy losses not only in the context of establishing an appropriate reserve, but to form a view of the load for mass torts needed to price current policy years.
An overview of the provisions in the Prescription Drug Pricing Reduction Act of 2019.
The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.
The latest monthly estimate of the lifetime default risk of U.S.-backed mortgages.
Project pension assets and liabilities into the future to answer complex questions and make data-driven decisions.
Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).
Comply with GASB 75 requirements through easy-to-answer questions and step-by-step guidance.
See how movements in capital markets affect your pension plan's financial status, with real-time updates on projected funded status, and FAS expense.
Administer defined benefit and cash balance pension plans with one of the industry's leading retirement planning and communication tools.
Assess the volatility embedded in pension plans, immediate annuities, and deferred annuities with longevity guarantees.
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.
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.
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Milliman’s Medicare Repricer software assigns Medicare-allowable fees to administrative claims data, allowing payers and providers to surface those fees in their enterprise data warehouse.
Milliman assists healthcare clients with a variety of actuarial analyses including rate setting, fee schedule development, budget forecasting and reserving. In addition to performing the underlying analysis Milliman can assist in communicating results to internal and external stakeholders including non-technical audiences.
Partner with us to implement and manage a benefits administration solution that matches your unique culture.
Meet your goals and business objectives in the face of constantly shifting markets and regulations.
Maximize the value of pension benefits to participants using our decades of experience, flexible software tools, and disciplined process.
Milliman assists clients in understanding and pricing the financial impacts of health care policy changes.
Keep health insurance exchanges healthy with our technical acuity and comprehensive knowledge of the healthcare industry.
Milliman provides a variety of services for state insurance departments. We review insurance company and rate bureau filings to ensure that rates are not excessive, inadequate, or unfairly discriminatory. We also assist with financial examinations of insurance companies so
that regulators can assess whether insurers have sound reserving, pricing, and liquidity management practices in place. Additionally, our consultants study rating bureaus’ ratemaking techniques to help insurance departments verify that techniques are fair and unbiased. Milliman also studies issues related to difficult markets, such as competition and market availability/affordability. We also serve as outside experts for several state insurance departments, analyzing complex new products and ratemaking techniques.
Plan for climate-related issues with sophisticated models representing more than 30 years of expertise.
Improve flood insurance with independent flood rating and underwriting, ratemaking, and competitive analysis.
Match price to risk, get better ratings, and improve profitability in the most difficult markets.
Milliman can help companies and other stakeholders navigate a potential PBGC distress termination of their tax-qualified defined benefit pension plan(s). We have worked with the PBGC for over 40 years on distress plan terminations and have a deep understanding of the PBGC’s distress plan termination process. Services we provide include:
We specialize in building customized and cost-effective solutions to measure and manage the risks associated with originating credit risk.
Our team is dedicated to analyzing mortgage and credit risk, specializing in statistical, actuarial, and econometric risk-assessment techniques.
Milliman assists clients with compliance-related analytics for both fair lending and quality control reviews.
Our mortgage insurance and lender loan loss reserving framework combine our independence and depth of industry expertise.
We combine actuarial and modeling expertise with capital markets structure analysis to deliver meaningful financial feasibility studies.
We’re here to help you break through complex challenges and achieve next-level success.