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HEALTHCARE UNIT COST INSIGHTS

Milliman Commercial Reimbursement Benchmarks

Get detailed provider reimbursement rates by market, so you can negotiate contracts with confidence

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The challenge

You need accurate, actionable assessment tools

Most data on commercial health insurance contracted reimbursement rates are incomplete or based on qualitative estimates. Although there are many solutions on the market, finding one that combines ease of use with credible insights can be challenging.

The solution

With detailed commercial reimbursement benchmarks, you can take proactive action in contract negotiations

Milliman Commercial Reimbursement Benchmarks calculate average provider reimbursement rates for commercial payers, down to the metropolitan statistical area (MSA) and procedure code. Based on actual commercial experience, augmented with intelligence from the industry-leading Milliman Consolidated Health Cost Guidelines and Milliman Medicare Repricer tools, the Milliman Commercial Reimbursement Benchmarks draws from one of the largest commercial data warehouses available. This means more creditable and granular findings, and provider reimbursement benchmarks you can trust.

BENEFITS

Milliman Commercial Reimbursement Benchmarks benefits

Eliminate the guesswork

Get specific, detailed commercial reimbursement benchmarks based on actual claims, augmented with Milliman intelligence.

Assess your rates against the market

Empower your pricing decisions by comparing your performance against market by MSA and medical service category.

Enter negotiations with confidence

Strengthen your negotiating position by leveraging actionable, accurate, and up-to-date market data.

Strong support for growth

Gain valuable insights about reimbursement benchmarks in a new area, helping you develop a contracting strategy for new markets with confidence.

FEATURES

Milliman Commercial Reimbursement Benchmarks features

Industry-leading data

Draw insights from one of the largest commercial market databases available, which contains the Milliman Consolidated Health Cost Guidelines Database and MarketScan, and uses the Milliman Medicare Repricer.

Custom reports

Narrow the findings to focus on the MSAs, service categories, or specific service codes most vital to your business.

Up-to-date benchmarks

Milliman Commercial Reimbursement Benchmarks are updated with emerging data every six months to ensure you have the latest snapshot on market reimbursement rates.

Easy integration

Milliman Commercial Reimbursement Benchmarks can be integrated with your internal dashboards and reporting systems for ongoing customized analysis.

INSIGHT

Related thought leadership

White paper

2024 Commercial reimbursement benchmarking

Commercial payment rates for medical services as percentage of Medicare fee-for-service rates

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White paper

2023 Commercial reimbursement benchmarking

Commercial payment rates for medical services as percentage of Medicare fee-for-service rates

Read the white paperNavigation Arrow
White paper

2022 Commercial reimbursement benchmarking

Commercial payment rates for medical services as percentage of Medicare fee-for-service rates

Read the white paperNavigation Arrow
White paper

2021 Commercial reimbursement benchmarking

Commercial payment rates for medical services as percentage of Medicare fee-for-service rates

Read the white paperNavigation Arrow

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