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 Health Trend Guidelines™ (HTG) give insurers, healthcare providers, and employers monthly information on healthcare expenditures and utilization for individuals enrolled in commercial insurance plans in the United States. The Trend Guidelines are updated with 12-month trailing data each month, serving as a vital tool and benchmark for negotiations for plan renewals, the setting of trend guarantees, forecasting, premium rate development, and many other applications.
The HTGs are a series of indices providing data on the cost, utilization, and unit costs of healthcare services - both in total and broken down separately for professional services, inpatient and outpatient services, and brand and generic prescription pharmaceuticals.
These guidelines are the main source for subscribers to get an independent, data-driven read on the pulse of what’s happening with healthcare in the U.S. Our guidelines incorporate real data points—based on experience data —leading to a more accurate overall picture of the trajectory of the healthcare system in this country. The information used to calculate the indices is provided by leading health insurance plans and data firms, covering approximately 60 million insured covered individuals in the U.S., representing about 40 % of the total commercially enrolled private fee-for-service market.
The costs covered by the HTGs are based on the allowed amounts accepted by each healthcare provider - doctor, hospital, outpatient test center, or pharmacy. The indices are calculated along four lines of business:
Indices are calculated at the national level. Regional (all market segments), and state and metropolitan area (Large Group and ASO) indices are available. Indices can also be customized to reflect a clients’ unique geographical population mix. Custom indices are also available.
The HTGs provide a high level of data on direction of healthcare costs with minimal time lag since the date of service. The comprehensiveness of the indices yield critical benchmarks to trends in specific keys markets as well as for the country as a whole. This gives insurance plans, employers, and providers the information they need to make defensible decisions in negotiations and price setting.
To learn more about the HTGs, please see our brochure.
For more information about the HTGs, please contact the Milliman Health Cost Guidelines manager at [email protected].
We’re here to help you break through complex challenges and achieve next-level success.