HEALTHCARE UNIT COST INSIGHTS
Milliman Commercial Reimbursement Benchmarks
Get detailed provider reimbursement rates by market, so you can negotiate contracts with confidence
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.
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.
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.
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.