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Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
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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.
A dynamic and growing market makes it more important than ever to offer competitive benefits and premiums to Medicare Advantage customers. Our comprehensive services include employer group pricing support, market and feasibility analysis, payment validation, and risk scoring.
Milliman has been helping plan providers creates successful Medicare Part D solutions since the program’s inception. Turn to us for retiree prescription drug plan review, creditable coverage testing, actuarial equivalence testing, and communications consulting.
Milliman healthcare consultants with clinical, IT, operational, compliance and marketing backgrounds, coupled with in-depth knowledge of Medicare programs, help you streamline operations, increase efficiency, and improve your services.
The CMS bid process is a gauntlet of complex regulations. Let Milliman help you find the right path forward for your Medicare plan, from Medicare Advantage to PACE. Our end-to-end support goes beyond initial submission to encompass desk review and audits.
As CMS moves ahead with the first 10 prescription drugs selected for negotiation for Medicare, we offer some insights, including the impact on plan sponsors.
Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are both very costly and impact a significant portion of the U.S. population.
Recently released calendar year (CY) 2023 Medicare Advantage (MA) data show continued expansion of dual eligible special needs plans (D-SNPs).
With the CMS, Medicare Advantage organizations, Medicaid organizations, and health plans experimenting with bundled payments, we offer a primer and perspectives.
This analysis focuses on mandatory supplemental benefits offered by general enrollment plans from 2019 to 2023.
This analysis focuses on mandatory supplemental benefits offered by Dual Eligible Special Needs Plans (D-SNPs) from 2019 to 2023.
Over the last decade, ACOs have emerged as a major force in the way healthcare is delivered in this country.
How do responses differ by demographic characteristics?
This article reviews dental benefits provided within MA general enrollment plans using Centers for Medicare and Medicaid Services data, including trends in enrollment, benefits offered, and purchasing habits of beneficiaries.
Milliman’s integrated, customizable software solution for pricing claims based on Medicare allowable fees.
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
Milliman’s Medicare Repricer software assigns Medicare-allowable fees to administrative claims data, allowing payers and providers to surface those fees in their enterprise data warehouse.
Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.
Model, establish, and measure medical management outcomes to achieve performance targets and make sound decisions.
Get online access to dynamic, interactive claims reports and robust benchmarks for ACOs, updated monthly.
Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.
Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modeling.
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Focus on making sound business decisions with help on all aspects of CMS bidding from submission to desk review to audit.
Manage risks and ensure profitability with a full range of analytical and actuarial services tailored to the needs of CCRCs.
Find and prioritize opportunities to improve your Star Rating--because today's performance is driving tomorrow's revenue.
We bring our customary rigor and objectivity to evaluating employer-sponsored health, wellness, and disease management programs.
As the global leader in consulting to Medicare Advantage, Milliman can help plans increase leads and membership in a cost effective and compliant manner.
Implement effective alternative payment strategies in collaboration with Medicare, including shared savings arrangements.
Access comprehensive Medicare Advantage services including employer group pricing support, feasibility analysis, payment validation, and more.
Improve care quality and cost efficiency with the leading independent Medicare experts.
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Build quality MedSupp solutions and succeed in a growing, yet complex market.
Bring your offerings in line with regulations and improve care for mental health and addiction issues.
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.
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Ask the tough questions. We’re ready for them.