Medicare Plan Selection Solution
Medicare Suggest
Deliver detailed, personalized Medicare plan pricing comparisons through a simple web, API, or consultative experience.
Finding the right Medicare plan match
Medicare beneficiaries often have difficulty matching their needs to the right health insurance products—leading many to overpay for plans relative to the value they receive. Organizations trying to help them—whether commercial carriers, employers, call centers, or brokers—find it challenging to provide beneficiaries with the information they need to make the right decisions.
Fast, accurate Medicare plan guidance
Medicare Suggest uses an individual’s medical history to suggest the least expensive Medicare Advantage, Prescription Drug Plan, and Medicare Supplement insurance products based on their demographic factors, medical claims, and pharmacy claims. Using this data and a robust set of machine learning algorithms based on millions of lives, Medicare Suggest provides highly customized and accurate estimates for Medicare beneficiaries, including those transitioning from ACO, commercial, or employer-provided health insurance.
Medicare Suggest benefits
Accurate
By securely retrieving a beneficiary’s actual claims and provider history, users receive a highly personalized list of plans ranked by total out-of-pocket costs based on their projected personal utilization patterns.
Cost-effective
With no software to deploy or manage, and a subscription-based pricing model, you can provide sophisticated recommendations at low cost.
Comprehensive
Medicare Suggest can provide recommendations for Medicare Advantage and Prescription Drug, Medicare Supplement, and Medicare Prescription Drug Plans.
Versatile
Whether transitioning individuals from an ACO program, commercial insurance, or employer health insurance, organizations can move beyond generic literature to provide next-generation insight into their likely out of pocket costs across multiple Medicare insurance products.
Medicare Suggest features
Resilient
Built on Microsoft Azure, Medicare Suggest supports high levels of scalability and availability, so it’s always there when people need it.
Robust
Research data supporting our matching algorithms is sourced from Milliman databases representing millions of lives and billions of claims records across the country.
Flexible
Organizations can configure the results and display of Medicare plans available to beneficiaries to meet their business needs.
Manageable
The system is entirely cloud based, enabling rapid deployment and providing users with a seamless experience. Industry-standard APIs simplify connection with external systems.
See how to unlock savings potential with Milliman Medicare Suggest
Assessing Cost Savings with Informed Medicare Plan Shopping
The landscape of healthcare is continuously evolving, demanding innovative solutions to achieve cost-effective and efficient healthcare outcomes. Milliman Medicare Suggest, an advanced application powered by machine learning, can help Medicare beneficiaries navigate the optimal coverage option based on their individualized data.
Related insight
Medicare plan selection: Pharmacy costs alone are not enough
Brokers and carriers should recognize the value in looking at medical costs when helping members with plan selection.
Services related to Medicare Suggest
Medicare consulting services
Improve care quality and cost efficiency with the leading independent Medicare experts.
Medicare Supplement insurance
Build quality MedSupp solutions and succeed in a growing, yet complex market.
Medicare Advantage (Part C)
Access comprehensive Medicare Advantage services including employer group pricing support, feasibility analysis, payment validation, and more.
Medicare Part D
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Related products
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.