Health Solutions
Health plans
Where wellbeing is the bottom line
Today’s health plans aren’t just payers—they’re innovators, too. From value-based reimbursement to product innovation, Milliman helps you find the best path to effective, caring, competitive coverage.
Milliman health plans solutions
Advanced analytics
Milliman uses advanced analytics to help find answers to the world’s most complex healthcare questions.
Risk assessment
We provide a variety of risk assessment services for health plans, including underwriting products and solutions and performing risk adjustment.
Alternative payment models
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.
Contract negotiations
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.
Health, wellness, and disease management
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.
Milliman Health Trend Guidelines
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.
Product development and pricing
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.
Reserving
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.
ACA + ACB: What does the next SCOTUS decision mean for private markets?
The ACA is facing yet another existential crisis in its latest trip to the Supreme Court, and by now we all know the headlines. But what does a potential ruling mean, and why should you care?
Milliman health plans insight
Milliman health plans products
Milliman Commercial Reimbursement Benchmarks
Access detailed, market-based provider commercial reimbursement benchmarks in multiple views, including Medicare FFS rates and allowed per RVU conversion factor.
Medicare Reference Pricer
Milliman’s integrated, customizable software solution for pricing claims based on Medicare allowable fees.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
IntelliScript
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
CORAL
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Milliman Medical Underwriting Suite
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)
IMPROVE combines your detailed claim and enrollment information with a proprietary algorithm to uncover opportunities to investigate undocumented or unsupported conditions or encourage enrollees to schedule annual wellness visits.
Milliman Health ClaimsRef
Reduce errors and improve cost savings with standardized, consistent claims processing tools.
Dental Actuarial Analytics (DAA)
Actionable insights for your dental network competitiveness
Dashboard for Research, Insight, and Validation of Experience (DRIVE)
Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Medicare Suggest
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
EDGE ASSIST
EDGE ASSIST is Milliman's end-to-end managed service solution—from data ingestion and manipulation to the final submission and everything in between.
Milliman Price Transparency Solutions for Payers and Providers
Demystify payer and provider contract pricing data for better transparency across the industry.
Milliman DNA Gene and Cell Therapy Forecasting
Analyze the emerging market to support underwriting, pricing, and product development.
Milliman health plans services
Benchmarking
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
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.
Stop loss/reinsurance/capital requirements
Choose stop-loss coverage that meets your needs and budget as risk-sharing payment models proliferate.
Value-based reimbursement strategy
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.