Milliman health products

Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.

Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.

Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.

Estimate reserves accurately with our powerful, yet simple tool for estimating "incurred but not paid" claim liabilities.

Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.

Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.

Actionable insights for your dental network competitiveness

EDGE ASSIST is Milliman's end-to-end managed service solution—from data ingestion and manipulation to the final submission and everything in between.

Improve the pricing and underwriting of medical excess products with a complete toolkit based on Milliman Health Cost Guidelines.

Comply with GASB 75 requirements through easy-to-answer questions and step-by-step guidance.

Benchmark utilization and costs by sorting claims data into Health Cost Guidelines™ (HCG) categories.

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.

Provide employees with a web-based tool that estimate out-of-pocket and premium costs for medical, dental, and vision plans.

Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).

Compare and benchmark hospital contracts on a patient-severity adjusted basis.

Analyze performance against national and regional best practices for strategic deployment of care management resources.

Evaluate the expected relative cost of an individual applying for coverage with detailed ratings on more than 1,400 conditions.

IMPROVE combines your detailed claim and enrollment information with a proprietary algorithm to uncover opportunities to investigate undocumented or unsupported conditions or encourage enrollees to schedule annual wellness visits.

Intelliscript verbindet branchenführende Daten und Analysemethoden, um Versicherungsunternehmen das Wissen, die Tools und die Einblicke an die Hand zu geben, die sie brauchen, um Risiken souverän zu beurteilen.

Nutzen Sie die branchenführende Plattform für Data Warehousing und Analytik im Gesundheitswesen.

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 integrated, customizable software solution for pricing claims based on Medicare allowable fees.

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.

Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.

Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.

Optimize your benefits cost management strategy.

Analyze the emerging market to support underwriting, pricing, and product development.

Reduce errors and improve cost savings with standardized, consistent claims processing tools.

Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.

Demystify payer and provider contract pricing data for better transparency across the industry.

Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.

Discover specialized market research to support your product strategies.

Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.

Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.

Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.

Enhance the efficiency and consistency of underwriters with a full-featured electronic underwriting application.

Automate rating and underwriting functions such as new business, batch renewal, and workflow management.