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Competitive Analysis

Milliman MACVAT

Comprehensive insight into the Medicare Advantage market in a flexible, easy-to-use format.

Milliman MACVAT banner illustration
Challenge

Standing out in a crowded Medicare Advantage market

Understanding how each MA plan measures up to competitor offerings is essential to success. These insights are useful beyond the actuarial department, serving the needs of executives, product managers, finance, brokers, and investors. However, gathering this information for current and past years is time-consuming—and the data alone does not provide an objective basis for comparison.

Solution

Instant, intuitive comparisons of MA plan value

Milliman MACVAT provides succinct, user-friendly comparisons based on our unique value added metric. Objective, easy-to-understand results help you build a sound product strategy. See enrollment paired with value added, premium, star rating, and benefits to understand market movement quickly and easily. Empower your team to focus on analysis and action rather than gathering data. MACVAT is used by insurers whose members represent more than 83% of the Medicare Advantage market.

BENEFITS

Benefits of Milliman MACVAT

Compare plan value easily

Users can filter results, see new comparisons instantly, and view results both numerically and graphically. Value added is expressed on a per member, per month basis for easy understanding and discussion.

Drill into your market

Our proprietary and unique measurement of value added reflects the unique cost structures of each county offering MA in the United States, including the District of Columbia and Puerto Rico. The tool also includes premiums, star ratings, benefit information, and enrollment by county and in total for current and past years.

Analyze the full range of benefits

Easily view nearly every MA-PD benefit and better understand the value contribution of each plan’s MA-PD benefit design for the last five years.

Create powerful visualizations

Bring data to life using the business intelligence functionality of the web-based Milliman MACVAT Dashboard. Powerful visualizations driven by Microsoft’s PowerBI interface will enhance understanding of the market and plan offerings.

FEATURES

Features of Milliman MACVAT

Increased value

MACVAT automates the gathering of plan details so your team can spend their time providing additional value to your organization.

Consistency

The standardized value added metric helps users more easily compare plans within service areas and across multiple years.

Reliability

Get accurate, actionable information quickly to drive key decisions.

Ease of access

Use Milliman MACVAT as an Excel spreadsheet or through the web-based Milliman MACVAT Dashboard.

Actionable

The value added metric includes all major benefit categories to better compare plan offerings and is the most comprehensive evaluation of benefit value in the MA market.

Wealth of data

The Milliman MACVAT displays nearly all of the benefits offered within the MA landscape for in and out-of-network benefit designs, including Part D, SSBCI, and optional supplemental benefits.

Data Driven Summaries

Bring MA data to life with the Milliman MACVAT

 

Understand plan value, including premium impact

In this example, Plan 2 charges the same premium as Plan 1, but its benefits are richer, leading to a higher overall value added. Plan 3 has the richest benefits, but also charges a higher premium, leading to an overall lower value added than both Plan 1 and Plan 2.

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Better understand the relationship between value added and enrollment

Review market trends over the last five years, drilling down to the desired level of review.

  • Enrollment (including crosswalks)
  • Star rating
  • Member premium
  • Value added
  • Benefit detail

In this example, Plan 4 may not have the highest value added, but it does attract the most membership in this market.

Download sample Dashboard outputDownload
INSIGHT

Milliman MACVAT insight

The Milliman MACVAT supports numerous analyses performed by Milliman experts.

White paper

Medicare Advantage under pressure: How MA-PD plans are responding in 2025

The 2025 Medicare Advantage (MA) and Part D (MA-PD) bidding cycle brought unprecedented challenges with a redesigned Part D benefit, MA revenue pressures, and rising healthcare trends.

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White paper

State of the 2024 Medicare Advantage Industry: General enrollment plan valuation and benefit offerings

We highlight changes in value added and key benefit trends in the Medicare Advantage market from 2023 to 2024, with a focus on general enrollment plans.

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White paper

State of the 2024 Medicare Advantage industry: Dual-eligible plan valuation and benefit offerings

We review changes in value added and key benefit trends in the Medicare Advantage market from 2023 to 2024, with a focus on Dual Eligible Special Needs Plans.

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White paper

Prevalence of supplemental benefits in the general enrollment Medicare Advantage marketplace: 2019 to 2023

This analysis focuses on mandatory supplemental benefits offered by general enrollment plans from 2019 to 2023.

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Companion tools

SERVICES

Services related to Milliman MACVAT

RESOURCES

Related resources

Brochure

Milliman MACVAT brochure

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Example

Milliman MACVAT example county

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Example

Milliman MACVAT Dashboard example

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Product

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Medicare Suggest

Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.

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