DRUG COSTS
Out of control—or delivering value?
Pharma innovation isn’t free—but few believe the sick should bear the costs. Balancing costs and benefits requires data, collaboration, and the courage to try new things.
Is affordability a pipe dream?
As drugs become more sophisticated and targeted, they often become dramatically more expensive. Even common drugs can see massive price increases when patents change hands or new uses are found.
As our healthcare systems and patients bear the cost of pharmaceuticals, how do we create a system that is fair to all—especially those whose lives could be saved by greater availability of medications?
Healthcare changes in the Inflation Reduction Act
From negotiated drug prices to Medicare Part D redesign, our research and analysis break down the law’s implications for plan sponsors, health plans, and pharmaceutical manufacturers.
Complexities in forecasting eligible cases and associated costs of cell and gene therapy
Beyond epidemiology, clinical trial criteria, and the science
A primer on prescription drug rebates
Payer strategies for weight-loss medications
Demand is up for drugs like Wegovy and Ozempic. How can plans balance the potential health benefits with adherence challenges and waste?
Related Milliman products
Milliman Payer Network Check
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
MyRxConsultant
Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.
Healthcare Reform Dashboard
Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Medicare Suggest
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
Milliman Specialty Pharmacy Insights
Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.
Related Milliman services
Product development and pricing: Healthcare
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Medicare Part D
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Pharmacy benefits consulting
Choose the right pharmacy benefits management vendor and develop effective benefit plans.