We provide a variety of risk assessment services for health plans, including underwriting products and solutions and performing risk adjustment.

From value-based reimbursement to accountable care organizations, the shifting balance of risk in healthcare payments creates new challenges and opportunities. Milliman can help you build cost models, manage utilization, and negotiate with providers to create systems that put incentives where they belong.

Use our contract performance analysis services to reduce healthcare costs while maintaining quality of care. We excel in creating financial models designed to cross-compare providers on an equal basis, adjusting for differences in services and patient populations.

Help plan members get and stay healthy with effective wellness and disease management programs. We can analyze the financial and health outcomes of programs to help ensure return on your investment—and positive outcomes for plan participants.

Get monthly updates on healthcare expenditures and utilization for individuals enrolled in commercial insurance plans across the U.S. Featuring 12-month trailing data, the Guidelines give you the data you need for negotiating, forecasting, setting premiums, and more.

Entering a new market, launching a new product, or changing benefits can be full of uncertainty. From plan design and feasibility studies through pricing, regulatory filings and continuous improvement, we offer you decades of pricing and product development experience, supported by healthcare data, research, and proprietary tools.

Our independence and depth of insight in actuarial analysis gives you actionable understanding so you can balance capital preservation with effective risk management. In addition to our consulting expertise, we also provide the most widely used reserving software solutions available in the marketplace.