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.

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

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

Estimate expected claims costs and model healthcare utilisation 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.

Analyse 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.

IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

Fuel population health analytics and manage 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.

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.