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.
We’re here to help you break through complex challenges and achieve next-level success.
Effective EDGE server management requires the frustrating task of wading through mountains of rules, technical specifications, and CMS webinars and slide decks, all while presuming your interpretation of the information is correct and you are fully conforming to the requirements. And now, the financial consequences for inaccurate or incomplete data are real and potentially material.
EDGE ASSIST is Milliman's end-to-end managed service solution—from data ingestion and manipulation to the final submission and everything in between. We understand the importance of transparency in such a complex and detailed process. Our workflow hinges on several key pillars that ensure accuracy in the submissions and completeness of member risk scores. These comprehensive, transparent, and flexible processes set us apart from typical EDGE vendors.
Milliman has the expertise to maintain your EDGE server, including contracting, configuring, acquiring CMS provisioning software, and registering. Upon successful completion of data processing and reconciliation, we will complete the submission process by properly transforming the data and loading it into the EDGE production environment.
We have a continuous process for reviewing and reconciling EDGE submissions and will work with you to ensure each submission passes our daily quality standards. We will also help you track your data over time and identify patterns, before your data reaches EDGE, to uncover signals of systemic weaknesses in your overall data management process.
Additionally, Milliman brings clarity to error reports through precise summaries of these errors paired with direct action items as part of a larger strategic plan for correcting errors and improving data quality. We can identify the errors offering the most potential risk score value to help your team effectively deploy and allocate resources.