PROCUREMENT MANAGEMENT
Milliman Payer Network Check
Evaluate medical network reimbursement rates to reduce costs
The price of healthcare services varies widely, even within a geographic market
Selecting the provider network option with the best overall prices generally yields the best financial results for your employee benefit health plan. Switching to a lower cost network could result in significant savings for years to come.
However, healthcare carriers in most markets closely guard access to provider discount information, at a disadvantage to the customer. You need better cost information to identify the optimal product and network for your organization or client.
Choose the best network based on reliable data
Medical network selection represents the largest cost savings opportunity for groups without making changes to their benefit design. Milliman Payer Network Check leverages standardized UDS data, the gold standard for payer discount data, and performs quality assurance review. It then executes proprietary algorithms to generate normalized discount profiles and applies them to the plan sponsor’s data, identifying the financial impact between the different carrier reimbursements in a customized report specific to your actual utilization and demographics.
With Milliman Payer Network Check, you can easily determine the expected cost differential for medical expense between competing carriers and find the right plan for your employees or clients.
Milliman Payer Network Check features
Insider information
Gain access to tightly protected network discount information under Uniform Discount and Data Specifications (UDS).
Customized reports
Get relevant insights with group-specific characteristics, including employee geographical distribution and historical claims experience.
Lower cost
Benefit from an efficient platform that keeps the price of our service lower than those of other major consulting firms.
Innovative network options
Compare costs and employee impact between traditional broad networks and new network solutions, including accountable care organizations (ACOs), high performing networks, and narrow networks.
Milliman Payer Network Check advantages
Access UDS data
Base your decisions on standardized data for the most accurate analysis of network costs between payers.
Work with subject matter experts
Leverage Milliman’s deep expertise and experience to provide your group with the highest quality network analysis available in the industry.
Targeted analysis
Choose analysis options, ranging from high-level network check to detailed RFP support, to align with a variety of employer needs at a competitive fee.
Quantify potential savings
Make a data-driven decision on whether to switch carriers.
Apply group-specific characteristics
Perform the most accurate analysis by comparing carrier discounts based on your group’s actual historical claims experience rather than an average-book-of-business approach.
Gain an independent perspective
Work with Milliman, an independent trusted advisor with no stake in the outcome of our findings.
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