Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Deliver on the promises of the past and create smart solutions for the future.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
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 uses advanced analytics to help find answers to the world’s most complex healthcare questions.
We provide a variety of risk assessment services for health plans, including underwriting products and solutions and performing risk adjustment.
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.
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.
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.
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.
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.
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.
Between 8 million and 24 million people could potentially lose their Medicaid coverage during the 12-month Medicaid eligibility redetermination process....
We estimate the financial impact of the federal requirement for employers and individual insurance plans to cover self-administered and self-read COVID-19 tests.
We examined 15 medical conditions where surgery is an option and discovered a surprising percentage of potentially avoidable procedures. Learn about the cost and care impacts.
What are some best practices in setting out-of-network provider reimbursement levels? How can you achieve cost savings while avoiding unfavorable outcomes? Get answers here.
When confronted with rising costs and shrinking reimbursement, leaders at a hospital in California took a bold step to ensure that they could continue serving the needs of the community in a financially sustainable way.
Read our latest analysis of healthcare costs in the U.S., including prescription drug and employer contribution trends.
See how we’re helping clients reduce costs and improve patient outcomes.
Milliman’s integrated, customizable software solution for pricing claims based on Medicare allowable fees.
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.
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.
Reduce errors and improve cost savings with standardized, consistent claims processing tools.
Actionable insights for your dental network competitiveness
Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
EDGE ASSIST is Milliman's end-to-end managed service solution—from data ingestion and manipulation to the final submission and everything in between.
Demystify payer and provider contract pricing data for better transparency across the industry.
Analyze the emerging market to support underwriting, pricing, and product development.
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Make the right decisions when it comes time to enter a new market, launch a new product, or change benefits.
Choose stop-loss coverage that meets your needs and budget as risk-sharing payment models proliferate.
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.
Ask the tough questions. We’re ready for them.